Provider Demographics
NPI:1053086124
Name:PERSONALIZED FOCUS CARE LLC
Entity Type:Organization
Organization Name:PERSONALIZED FOCUS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-772-4225
Mailing Address - Street 1:8418 SPORTS HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-6158
Mailing Address - Country:US
Mailing Address - Phone:281-772-4225
Mailing Address - Fax:
Practice Address - Street 1:8418 SPORTS HAVEN DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-6158
Practice Address - Country:US
Practice Address - Phone:281-772-4225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health