Healthcare Provider Details

I. General information

NPI: 1861762403
Provider Name (Legal Business Name): A RELIABLE ALTERNATIVE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22503 KATY FWY STE 50
KATY TX
77450-1512
US

IV. Provider business mailing address

22503 KATY FWY STE 50
KATY TX
77450-1512
US

V. Phone/Fax

Practice location:
  • Phone: 832-356-6272
  • Fax:
Mailing address:
  • Phone: 832-356-6272
  • 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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CASANDRA JOHNSON
Title or Position: ADMINISTRATOR
Credential: LVN
Phone: 832-356-6272