=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407704158
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PD HOME AIDE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2026
-----------------------------------------------------
Last Update Date | 03/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4655 TECHNIPLEX DR STE 700
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77477-3866
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-785-3122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4635 AUBURN BROOK LN
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77479-4577
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-785-3122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DAVIN NG
-----------------------------------------------------
Credential | CMD
-----------------------------------------------------
Telephone | 281-785-3122
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------