Provider Demographics
NPI:1992733000
Name:CONSOLIDATED HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:CONSOLIDATED HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:409-379-2268
Mailing Address - Street 1:PO BOX 812
Mailing Address - Street 2:411 S. KAUFMAN STREET
Mailing Address - City:NEWTON
Mailing Address - State:TX
Mailing Address - Zip Code:75966-0812
Mailing Address - Country:US
Mailing Address - Phone:409-379-2268
Mailing Address - Fax:409-379-3183
Practice Address - Street 1:411 S KAUFMAN ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:TX
Practice Address - Zip Code:75966-3617
Practice Address - Country:US
Practice Address - Phone:409-379-2268
Practice Address - Fax:409-379-3183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017473251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D0989525OtherCLIA
TX001020210Medicaid
TX45D0989525OtherCLIA