Healthcare Provider Details

I. General information

NPI: 1649452657
Provider Name (Legal Business Name): KINGSLEY HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 FOURNACE PL STE 414
BELLAIRE TX
77401-2346
US

IV. Provider business mailing address

1605 POTOMAC DR UNIT B
HOUSTON TX
77057-1970
US

V. Phone/Fax

Practice location:
  • Phone: 281-495-9927
  • Fax:
Mailing address:
  • Phone: 281-495-9927
  • Fax: 888-676-5604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MY-LYNH NGUYEN
Title or Position: PRINCIPAL
Credential:
Phone: 281-495-9927