NPI Code Details Logo

NPI 1780680983

NPI 1780680983 : TRADITIONS HEALTH CARE OF HOUSTON GALVESTON, LLC : TOMBALL, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780680983
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TRADITIONS HEALTH CARE OF HOUSTON GALVESTON, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/22/2005
-----------------------------------------------------
    Last Update Date     |    11/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16730 N ELDRIDGE PKWY STE B 
-----------------------------------------------------
    City                 |    TOMBALL
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77377-9077
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-646-9900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6840 CAROTHERS PKWY STE 550 
-----------------------------------------------------
    City                 |    FRANKLIN
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37067-8002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    979-704-6547
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT & CEO
-----------------------------------------------------
    Name                 |    MR. BRIAN  LANTIER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    979-704-6547
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    015118
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.