Provider Demographics
NPI:1144729674
Name:BESTWAY HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:BESTWAY HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:EZENWA
Authorized Official - Last Name:NWOKEDI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-803-5452
Mailing Address - Street 1:12809 FLAT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3105
Mailing Address - Country:US
Mailing Address - Phone:214-803-5452
Mailing Address - Fax:
Practice Address - Street 1:12809 FLAT CREEK DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3105
Practice Address - Country:US
Practice Address - Phone:214-803-5452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-10
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Single Specialty