Healthcare Provider Details
I. General information
NPI: 1649128208
Provider Name (Legal Business Name): CP HOME CARE II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8900 EMMETT F LOWRY EXPY STE 103C
TEXAS CITY TX
77591-9117
US
IV. Provider business mailing address
6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US
V. Phone/Fax
- Phone: 844-270-0096
- Fax: 409-994-0400
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KATRINA
DAWN
LANIER
Title or Position: SECRETARY
Credential:
Phone: 855-485-8273