Healthcare Provider Details

I. General information

NPI: 1104351246
Provider Name (Legal Business Name): HOME SOLUTIONS HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 09/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9898 BISSONNET ST
HOUSTON TX
77036-8270
US

IV. Provider business mailing address

9898 BISSONNET ST STE 430L
HOUSTON TX
77036-8270
US

V. Phone/Fax

Practice location:
  • Phone: 713-931-8000
  • Fax:
Mailing address:
  • Phone: 346-406-5828
  • Fax: 346-406-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number018509
License Number StateTX

VIII. Authorized Official

Name: SHAUNICE NICOLE SHELTON
Title or Position: ADMINISTRATOR/OWNER
Credential: BSN,RN
Phone: 314-659-9090