Provider Demographics
NPI:1053866780
Name:HOME AT LAST
Entity Type:Organization
Organization Name:HOME AT LAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURIAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-497-6499
Mailing Address - Street 1:1855 BARKER CYPRESS RD
Mailing Address - Street 2:STE 140 PMB 107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7209
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1855 BARKER CYPRESS RD
Practice Address - Street 2:STE 140 PMB 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7209
Practice Address - Country:US
Practice Address - Phone:832-497-6499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health