Healthcare Provider Details

I. General information

NPI: 1629904958
Provider Name (Legal Business Name): INCLUSIVE HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 BLACKHAWK RIDGE LN
MANVEL TX
77578-5193
US

IV. Provider business mailing address

2015 BLACKHAWK RIDGE LN
MANVEL TX
77578-5193
US

V. Phone/Fax

Practice location:
  • Phone: 503-451-9293
  • Fax:
Mailing address:
  • Phone: 503-451-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAMUEL ZEMENE
Title or Position: PROGRAM MANAGER
Credential:
Phone: 503-451-9293