Healthcare Provider Details

I. General information

NPI: 1225703101
Provider Name (Legal Business Name): CONSERVCLEAN CARE CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 SAN FELIPE ST STE 500
HOUSTON TX
77057-8003
US

IV. Provider business mailing address

5850 SAN FELIPE ST STE 500
HOUSTON TX
77057-8003
US

V. Phone/Fax

Practice location:
  • Phone: 713-300-0554
  • Fax:
Mailing address:
  • Phone: 713-300-0554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. LASHAD JACKSON
Title or Position: CEO
Credential:
Phone: 713-300-0554