Healthcare Provider Details

I. General information

NPI: 1982977146
Provider Name (Legal Business Name): KERICO HOME CLINIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6575 WEST LOOP S STE 500
BELLAIRE TX
77401-3509
US

IV. Provider business mailing address

11721 HEIGHTS TRAIL LN
PEARLAND TX
77584-3991
US

V. Phone/Fax

Practice location:
  • Phone: 713-962-6455
  • Fax:
Mailing address:
  • Phone: 713-962-6455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MORRIS
Title or Position: CEO
Credential:
Phone: 281-809-7249