Provider Demographics
NPI:1730411950
Name:TEXAS HOME HEALTH CARE CENTER
Entity type:Organization
Organization Name:TEXAS HOME HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:EBENZER
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:MSC
Authorized Official - Phone:571-435-2209
Mailing Address - Street 1:14165 BISSONNET ST
Mailing Address - Street 2:SUITE P
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6356
Mailing Address - Country:US
Mailing Address - Phone:281-879-9108
Mailing Address - Fax:281-879-9102
Practice Address - Street 1:14165 BISSONNET ST
Practice Address - Street 2:SUITE P
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6356
Practice Address - Country:US
Practice Address - Phone:281-879-9108
Practice Address - Fax:281-879-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No253J00000XAgenciesFoster Care Agency