Healthcare Provider Details

I. General information

NPI: 1124287628
Provider Name (Legal Business Name): OUTREACH HEALTH COMMUNITY CARE SERVICES LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16825 NORTHCHASE DR STE 160
HOUSTON TX
77060-6004
US

IV. Provider business mailing address

2600 N CENTRAL EXPY STE 900
RICHARDSON TX
75080-2065
US

V. Phone/Fax

Practice location:
  • Phone: 281-872-4495
  • Fax: 281-872-4560
Mailing address:
  • Phone: 214-538-6689
  • Fax: 972-792-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REBECCA L WILLIAMS
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 214-538-6689