Healthcare Provider Details
I. General information
NPI: 1306535737
Provider Name (Legal Business Name): TEXACARE HHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6210 MAPLE TIMBER CT
HUMBLE TX
77346-3893
US
IV. Provider business mailing address
6210 MAPLE TIMBER CT
HUMBLE TX
77346-3893
US
V. Phone/Fax
- Phone: 281-299-7704
- Fax:
- Phone: 281-299-7704
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ROSA
DELGADO
Title or Position: AMBR
Credential:
Phone: 281-299-7704