Healthcare Provider Details

I. General information

NPI: 1801148465
Provider Name (Legal Business Name): TRUSTED HEART ASSISTED LIVING HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2012
Last Update Date: 10/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10927 WILKENBURG DR
HOUSTON TX
77086-1335
US

IV. Provider business mailing address

10927 WILKENBURG DR
HOUSTON TX
77086-1335
US

V. Phone/Fax

Practice location:
  • Phone: 832-451-8359
  • Fax:
Mailing address:
  • Phone: 832-451-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARON LEWIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-451-8359