Provider Demographics
NPI:1013200567
Name:VILLAGE HOME HEALTH, L.L.C.
Entity Type:Organization
Organization Name:VILLAGE HOME HEALTH, L.L.C.
Other - Org Name:VILLAGE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BARCELO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LNFA
Authorized Official - Phone:713-770-5300
Mailing Address - Street 1:631 N EGRET BAY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2677
Mailing Address - Country:US
Mailing Address - Phone:281-554-6742
Mailing Address - Fax:281-554-6748
Practice Address - Street 1:631 N EGRET BAY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2677
Practice Address - Country:US
Practice Address - Phone:281-554-6742
Practice Address - Fax:281-554-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2022-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747755Medicare Oscar/Certification