Healthcare Provider Details

I. General information

NPI: 1720727886
Provider Name (Legal Business Name): TEXAS CHILDREN'S HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 AVENUE A
CONROE TX
77301-2948
US

IV. Provider business mailing address

212 AVENUE A
CONROE TX
77301-2948
US

V. Phone/Fax

Practice location:
  • Phone: 936-900-0677
  • Fax: 346-770-1714
Mailing address:
  • Phone: 936-900-0677
  • Fax: 346-770-1714

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 Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CHIMDIKE OGBONNAYA
Title or Position: OWNER
Credential: RN
Phone: 936-900-0677