Provider Demographics
NPI:1003046178
Name:PEARLAND REGIONAL HOME HEALTH, LLC
Entity Type:Organization
Organization Name:PEARLAND REGIONAL HOME HEALTH, LLC
Other - Org Name:CASA HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:281-485-5775
Mailing Address - Street 1:1980 COUNTRY PLACE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2137
Mailing Address - Country:US
Mailing Address - Phone:281-485-5775
Mailing Address - Fax:281-485-5773
Practice Address - Street 1:1980 COUNTRY PLACE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2137
Practice Address - Country:US
Practice Address - Phone:281-485-5775
Practice Address - Fax:281-485-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1103653251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health