MEDICARE: HOME AT LAST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1053866780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME AT LAST

Provider Business Mailing Address
First Line	:	1855 BARKER CYPRESS RD
Second Line	:	STE 140 PMB 107
City	:	HOUSTON
State	:	TX
Zip	:	77084-7209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 BARKER CYPRESS RD
Second Line	:	STE 140 PMB 107
City	:	HOUSTON
State	:	TX
Zip	:	77084-7209
Country	:	US
Telephone Number	:	832-497-6499
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ ADMINISTRATOR
Name	:	LAURIAUN JOHNSON
Credential	:
Telephone Number	:	832-497-6499

Provider Enumeration Date	:	08/23/2016
Last Update Date	:	08/23/2016

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Directions to “HOME AT LAST ” Practice Location

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