Provider Demographics
NPI:1861701260
Name:PATIENT RECOVERY HEALTHCARE MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:PATIENT RECOVERY HEALTHCARE MANAGEMENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DYRREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-447-1010
Mailing Address - Street 1:505 N. SAM HOUSTON PKWY E.
Mailing Address - Street 2:SUITE 680
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4094
Mailing Address - Country:US
Mailing Address - Phone:281-447-1010
Mailing Address - Fax:281-447-1313
Practice Address - Street 1:505 N. SAM HOUSTON PKWY E.
Practice Address - Street 2:SUITE 680
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4094
Practice Address - Country:US
Practice Address - Phone:281-447-1010
Practice Address - Fax:281-447-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-02
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 253Z00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health