Provider Demographics
NPI:1215063078
Name:PSALM 23 HEALTH SERVICES INC.
Entity type:Organization
Organization Name:PSALM 23 HEALTH SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:AZUKA
Authorized Official - Last Name:CHUKWUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-646-4232
Mailing Address - Street 1:13515 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3562
Mailing Address - Country:US
Mailing Address - Phone:281-491-2034
Mailing Address - Fax:281-491-2046
Practice Address - Street 1:13515 SOUTHWEST FWY
Practice Address - Street 2:SUITE 212
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3562
Practice Address - Country:US
Practice Address - Phone:281-491-2034
Practice Address - Fax:281-491-2046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010003251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9565Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER