Provider Demographics
NPI:1255123139
Name:ANNIE & LILLIAN'S HOME CARE
Entity type:Organization
Organization Name:ANNIE & LILLIAN'S HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-609-1509
Mailing Address - Street 1:10200 RICHMOND AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4145
Mailing Address - Country:US
Mailing Address - Phone:904-609-1509
Mailing Address - Fax:
Practice Address - Street 1:10200 RICHMOND AVE STE 115
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4145
Practice Address - Country:US
Practice Address - Phone:904-609-1509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)