MEDICARE: SIMPLEX HEALTH AND ALLIED SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	009667	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1518993815	OTHER	TX	NPI #

General Provider Information

NPI Number	:	1518993815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLEX HEALTH AND ALLIED SERVICES, INC

Provider Business Mailing Address
First Line	:	5715 SALUDA CREEK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-5807
Country	:	US
Telephone Number	:	713-334-7266
Fax Number	:	713-334-7297

Provider Business Practice Location Address
First Line	:	5715 SALUDA CREEK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-5807
Country	:	US
Telephone Number	:	713-334-7266
Fax Number	:	713-334-7297

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. UDO NNAJI
Credential	:
Telephone Number	:	713-334-7266

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	09/22/2015

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