Healthcare Provider Details

I. General information

NPI: 1891009700
Provider Name (Legal Business Name): HARBOR HOME HEALTH LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11980 KIRBY DR STE 120
HOUSTON TX
77045-4860
US

IV. Provider business mailing address

3406 COLLEGE ST SUITE 200
BEAUMONT TX
77701-4612
US

V. Phone/Fax

Practice location:
  • Phone: 713-413-5292
  • Fax: 281-929-0678
Mailing address:
  • Phone: 409-730-2022
  • Fax: 409-232-0573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number013794
License Number StateTX

VIII. Authorized Official

Name: KAREN CARTER
Title or Position: EXEC ADMIN ASSISTANT
Credential:
Phone: 409-730-2046