# WIHELMENA CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHANNEL OF HOPE OUTREACH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093251928
- **Legal business name:** CHANNEL OF HOPE OUTREACH
- **Authorized official:** PEGGY PENN BSN, MBA/HCM (OWNER/MANAGER)
- **Authorized official phone:** (832) 621-9359

## Contact information

- **Practice address:** 9502 ROSEHAVEN DR, HOUSTON, TX 77051-3131
- **Practice address phone:** (832) 621-9359
- **Mailing address:** 5301 BRETT DR, PEARLAND, TX 77584-1236
- **Mailing address phone:** (832) 621-9359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | 666663 | TX | — |
| 261QH0100X | Health Service Clinic/Center | 666663 | TX | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 666663 | TX | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | 666663 | TX | — |
| 311Z00000X | Custodial Care Facility | 666663 | TX | — |
| 311ZA0620X | Adult Care Home Facility | 666663 | TX | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 666663 | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 666663 | TX | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 666663 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 666663 | TX | — |
| 3416L0300X | Land Ambulance | 666663 | TX | — |
| 343800000X | Secured Medical Transport (VAN) | 666663 | TX | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 666663 | TX | — |
| 385H00000X | Respite Care | 666663 | TX | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 666663 | TX | — |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017
