Provider Demographics
NPI:1003128026
Name:THE ELDERCARE NETWORK
Entity Type:Organization
Organization Name:THE ELDERCARE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:LILLIAN
Authorized Official - Last Name:DE ROOY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-271-6658
Mailing Address - Street 1:6825 ROWAN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-6207
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:713-271-8727
Practice Address - Street 1:6825 ROWAN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-6207
Practice Address - Country:US
Practice Address - Phone:713-271-6658
Practice Address - Fax:713-271-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261695633253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care