Healthcare Provider Details

I. General information

NPI: 1912606328
Provider Name (Legal Business Name): CONSOLING HAND CONCIERGE SVCS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14643 WHEELER DR
CONROE TX
77302-2309
US

IV. Provider business mailing address

14643 WHEELER DR
CONROE TX
77302-2309
US

V. Phone/Fax

Practice location:
  • Phone: 215-776-6915
  • Fax:
Mailing address:
  • Phone: 215-776-6915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: KAHLIL SUMMERS
Title or Position: AMBR
Credential:
Phone: 215-776-6915