Healthcare Provider Details

I. General information

NPI: 1336955657
Provider Name (Legal Business Name): FOREVA HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4654 HIGHWAY 6 N STE 203
HOUSTON TX
77084-2878
US

IV. Provider business mailing address

4654 HIGHWAY 6 N STE 203
HOUSTON TX
77084-2878
US

V. Phone/Fax

Practice location:
  • Phone: 832-432-0808
  • Fax:
Mailing address:
  • Phone: 832-432-0808
  • 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

VIII. Authorized Official

Name: MRS. ORNA HUNTER-MOOREHEAD
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-513-2262