Healthcare Provider Details

I. General information

NPI: 1831988773
Provider Name (Legal Business Name): HOME CARE INNOVATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15486 FM 252
KIRBYVILLE TX
75956-4233
US

IV. Provider business mailing address

15486 FM 252
KIRBYVILLE TX
75956-4233
US

V. Phone/Fax

Practice location:
  • Phone: 409-423-6777
  • Fax: 409-423-2020
Mailing address:
  • Phone: 409-423-6777
  • Fax: 409-423-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JUDY L. LUMMUS
Title or Position: ASSISTANT ADMINISTRATOR
Credential:
Phone: 409-423-6777