Healthcare Provider Details

I. General information

NPI: 1497663918
Provider Name (Legal Business Name): HEAVENLY TOUCH HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6666 HARWIN DR STE 475
HOUSTON TX
77036-2275
US

IV. Provider business mailing address

PO BOX 5527
KATY TX
77491-5527
US

V. Phone/Fax

Practice location:
  • Phone: 713-671-5578
  • Fax:
Mailing address:
  • Phone: 713-671-5578
  • Fax: 713-671-5578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMINIQUE GLOSTON
Title or Position: CEO
Credential:
Phone: 713-671-5578