Healthcare Provider Details

I. General information

NPI: 1346634615
Provider Name (Legal Business Name): INHOME SENIOR CARE LIVING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 03/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 E VISTAWOOD DR
HOUSTON TX
77077-3230
US

IV. Provider business mailing address

1307 E VISTAWOOD DR
HOUSTON TX
77077-3230
US

V. Phone/Fax

Practice location:
  • Phone: 832-677-5007
  • Fax:
Mailing address:
  • Phone: 832-677-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD DAVID
Title or Position: OWNER
Credential:
Phone: 832-677-5007