=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992527600
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENCOURAGE HOME HEALTH SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2024
-----------------------------------------------------
Last Update Date | 10/25/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1880 S DAIRY ASHFORD RD SUITE 207 #699
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77077
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-323-1263
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1880 S DAIRY ASHFORD RD SUITE 207 #699
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77077
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-323-1263
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSISTANT SUPERVISING NURSE
-----------------------------------------------------
Name | CANDICE ARMITTE MBACHU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-323-1263
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------