Provider Demographics
NPI:1194907022
Name:AMERICAN PROVIDENCE HOME HEALTH INC
Entity type:Organization
Organization Name:AMERICAN PROVIDENCE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:W
Authorized Official - Last Name:FUSI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-889-6531
Mailing Address - Street 1:3507 MEADWAY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5342
Mailing Address - Country:US
Mailing Address - Phone:832-889-6531
Mailing Address - Fax:
Practice Address - Street 1:3507 MEADWAY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5342
Practice Address - Country:US
Practice Address - Phone:832-889-6531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health