Provider Demographics
NPI:1073839403
Name:BUTTERFLY KISSES HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:BUTTERFLY KISSES HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-361-1618
Mailing Address - Street 1:1804 SNAKE RIVER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7744
Mailing Address - Country:US
Mailing Address - Phone:832-361-1618
Mailing Address - Fax:
Practice Address - Street 1:1804 SNAKE RIVER RD
Practice Address - Street 2:SUITE C
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7744
Practice Address - Country:US
Practice Address - Phone:832-361-1618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX619773251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health