Provider Demographics
NPI:1548623911
Name:AT HOME HEALTH CARE HOSPICE, INC
Entity type:Organization
Organization Name:AT HOME HEALTH CARE HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS R
Authorized Official - Middle Name:REYNALDO
Authorized Official - Last Name:HERRERA MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-302-6816
Mailing Address - Street 1:10701 CORPORATE DR # 294
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4096
Mailing Address - Country:US
Mailing Address - Phone:832-538-0973
Mailing Address - Fax:281-919-2930
Practice Address - Street 1:10701 CORPORATE DR STE 294
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4096
Practice Address - Country:US
Practice Address - Phone:832-538-0973
Practice Address - Fax:281-919-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient