Provider Demographics
NPI:1548328198
Name:MEMORIAL HOME HEALTHCARE INC
Entity type:Organization
Organization Name:MEMORIAL HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-206-7806
Mailing Address - Street 1:439 MASON PARK BOULEVARD
Mailing Address - Street 2:SUIE A1
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-206-7806
Mailing Address - Fax:713-583-0099
Practice Address - Street 1:439 MASON PARK BOULEVARD
Practice Address - Street 2:SUITE A1
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-579-7212
Practice Address - Fax:713-680-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679698Medicare UPIN