Healthcare Provider Details

I. General information

NPI: 1578952545
Provider Name (Legal Business Name): VILLAGE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2015
Last Update Date: 01/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 KNURLED OAK LN
SPRING TX
77379-3963
US

IV. Provider business mailing address

8202 KNURLED OAK LN
SPRING TX
77379-3963
US

V. Phone/Fax

Practice location:
  • Phone: 713-705-2443
  • Fax: 281-655-5015
Mailing address:
  • Phone: 713-705-2443
  • 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: CAROL S PITTS
Title or Position: CEO
Credential: RN
Phone: 713-705-2443