Healthcare Provider Details

I. General information

NPI: 1174299630
Provider Name (Legal Business Name): BETTER AT HOME CARE EASTERN TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 03/07/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19419 STANTON LAKE DR
CYPRESS TX
77433-4095
US

IV. Provider business mailing address

19419 STANTON LAKE DR
CYPRESS TX
77433-4095
US

V. Phone/Fax

Practice location:
  • Phone: 181-044-9518
  • Fax:
Mailing address:
  • Phone: 810-449-5187
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH G LYLE JR.
Title or Position: OWNER
Credential:
Phone: 810-449-5187