Provider Demographics
NPI:1285734426
Name:ALTRU HEALTH CARE SERVICES CORP
Entity type:Organization
Organization Name:ALTRU HEALTH CARE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEABA
Authorized Official - Middle Name:O
Authorized Official - Last Name:EMEABA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-643-1401
Mailing Address - Street 1:8449 W. BELLFORT AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2245
Mailing Address - Country:US
Mailing Address - Phone:713-272-9911
Mailing Address - Fax:713-272-9011
Practice Address - Street 1:8449 W BELLFORT AVE
Practice Address - Street 2:SUIT 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2245
Practice Address - Country:US
Practice Address - Phone:713-272-9911
Practice Address - Fax:713-272-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010138251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010138OtherHOME HEALTH LICENSE
TX211050401Medicaid
679691Medicare Oscar/Certification
TX679691Medicare Oscar/Certification