Provider Demographics
NPI:1699080242
Name:CONVENIENT HEALTH CARE, INC.
Entity type:Organization
Organization Name:CONVENIENT HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-837-6277
Mailing Address - Street 1:1645 MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-5043
Mailing Address - Country:US
Mailing Address - Phone:830-837-6277
Mailing Address - Fax:830-632-6424
Practice Address - Street 1:1645 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-5043
Practice Address - Country:US
Practice Address - Phone:830-837-6277
Practice Address - Fax:830-632-6424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013734251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013734OtherSTATE OF TEXAS