Healthcare Provider Details

I. General information

NPI: 1255595906
Provider Name (Legal Business Name): TEXAS HOME CARE & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 02/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26314 MIDDLECREST HILL CT
KATY TX
77494-5475
US

IV. Provider business mailing address

26314 MIDDLECREST HILL CT
KATY TX
77494-5475
US

V. Phone/Fax

Practice location:
  • Phone: 832-437-8887
  • Fax: 832-437-8808
Mailing address:
  • Phone: 832-437-8887
  • Fax: 832-437-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011997
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number011997
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number011997
License Number StateTX

VIII. Authorized Official

Name: MISS SUZANNE TONI SCALLY
Title or Position: ADMINISTRATOR/OWNER
Credential: R.N.
Phone: 832-437-8887