Healthcare Provider Details

I. General information

NPI: 1376314484
Provider Name (Legal Business Name): UNITED HOSPITALITY HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13611 MADERA BEND LN
ROSHARON TX
77583-1296
US

IV. Provider business mailing address

13611 MADERA BEND LN
ROSHARON TX
77583-1296
US

V. Phone/Fax

Practice location:
  • Phone: 832-289-2207
  • Fax:
Mailing address:
  • Phone: 832-289-2207
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SERENA KADAMANKUNNEL RENJITH
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 832-289-2207