Healthcare Provider Details

I. General information

NPI: 1043016785
Provider Name (Legal Business Name): CYC FAMILY CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2918 HALCYON TIME TRL
HOUSTON TX
77045-4646
US

IV. Provider business mailing address

5850 SAN FELIPE ST STE 500
HOUSTON TX
77057-8003
US

V. Phone/Fax

Practice location:
  • Phone: 832-368-9383
  • Fax:
Mailing address:
  • Phone: 832-368-9383
  • 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 Code251F00000X
TaxonomyHome Infusion 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 Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. TESSIE ANITA TIMS
Title or Position: PRESIDENT
Credential:
Phone: 832-368-9383