Healthcare Provider Details

I. General information

NPI: 1598098279
Provider Name (Legal Business Name): SILVER-SPRING HOME HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25700 INTERSTATE 45 N STE 440
SPRING TX
77386-1967
US

IV. Provider business mailing address

25700 INTERSTATE 45 N STE 440
SPRING TX
77386-1967
US

V. Phone/Fax

Practice location:
  • Phone: 281-651-2268
  • Fax: 281-656-5230
Mailing address:
  • Phone: 281-651-2268
  • Fax: 281-656-5230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number013290
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LOLA BAKARE
Title or Position: ADMINISTRATOR
Credential:
Phone: 281-727-6308