Healthcare Provider Details

I. General information

NPI: 1720660046
Provider Name (Legal Business Name): ALLIED HEALTH AND HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12534 FERN CREEK TRL
HUMBLE TX
77346-3063
US

IV. Provider business mailing address

12534 FERN CREEK TRL
HUMBLE TX
77346-3063
US

V. Phone/Fax

Practice location:
  • Phone: 856-540-8139
  • Fax:
Mailing address:
  • Phone: 856-540-8139
  • 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 Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BARBARA LIPSEY
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 856-540-8139