=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083232045
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENTRUSTED PEDIATRIC HOME CARE L.L.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2020
-----------------------------------------------------
Last Update Date | 02/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21021 SPRING BROOK PLAZA DR STE 215
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77379-5340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-280-8500
-----------------------------------------------------
Fax | 713-589-2132
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3921 STECK AVE STE A120
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78759-8669
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-532-4800
-----------------------------------------------------
Fax | 512-735-2061
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NICHOLAS NORWOOD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-455-7476
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------