Healthcare Provider Details

I. General information

NPI: 1801750062
Provider Name (Legal Business Name): DETAILED HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 HIGHWAY 6 S STE A
HOUSTON TX
77077-5200
US

IV. Provider business mailing address

2305 HIGHWAY 6 S STE A
HOUSTON TX
77077-5200
US

V. Phone/Fax

Practice location:
  • Phone: 832-486-9642
  • Fax:
Mailing address:
  • Phone: 832-486-9642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAMRUL ALAM
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 832-486-9642