Healthcare Provider Details

I. General information

NPI: 1447499074
Provider Name (Legal Business Name): EASTERN HOME HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 12/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4115 TEXIAN FOREST TRL
HUMBLE TX
77346
US

IV. Provider business mailing address

4115 TEXIAN FOREST TRL STE B
HUMBLE TX
77346-3751
US

V. Phone/Fax

Practice location:
  • Phone: 832-790-0881
  • Fax:
Mailing address:
  • Phone: 832-790-0881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. ELANA-JULIA ADAMS
Title or Position: CEO / COUNSELOR
Credential: PROFESSOR
Phone: 832-790-0881