Healthcare Provider Details

I. General information

NPI: 1033436118
Provider Name (Legal Business Name): SEABROOK PRIVATE DUTY NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 04/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3907 CURLY OAKS DR
HOUSTON TX
77053-1422
US

IV. Provider business mailing address

3907 CURLY OAKS DR
HOUSTON TX
77053-1422
US

V. Phone/Fax

Practice location:
  • Phone: 832-319-8927
  • Fax:
Mailing address:
  • Phone: 832-319-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. SENECA THERESA COSSE
Title or Position: ACTIVITY DIRECTOR
Credential: AD/TXC,CDP
Phone: 832-319-8927