Provider Demographics
NPI:1023398997
Name:CAMILLIANS HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CAMILLIANS HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-649-6092
Mailing Address - Street 1:4635 SOUTHWEST FWY STE 645
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7105
Mailing Address - Country:US
Mailing Address - Phone:832-649-6092
Mailing Address - Fax:800-658-0781
Practice Address - Street 1:4635 SOUTHWEST FWY STE 645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7105
Practice Address - Country:US
Practice Address - Phone:832-649-6092
Practice Address - Fax:800-658-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747820OtherPTAN