Provider Demographics
NPI:1962800474
Name:ANTIOCH HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:ANTIOCH HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:EGWIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-583-6300
Mailing Address - Street 1:3003 SEAGLER RD
Mailing Address - Street 2:2212
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2977
Mailing Address - Country:US
Mailing Address - Phone:832-583-6300
Mailing Address - Fax:832-583-6300
Practice Address - Street 1:3003 SEAGLER RD
Practice Address - Street 2:2212
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2977
Practice Address - Country:US
Practice Address - Phone:832-583-6300
Practice Address - Fax:832-583-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based