Provider Demographics
NPI:1073910774
Name:HOME CAREGIVER SOLUTIONS
Entity Type:Organization
Organization Name:HOME CAREGIVER SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-560-4717
Mailing Address - Street 1:4411 DACOMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8611
Mailing Address - Country:US
Mailing Address - Phone:713-861-2684
Mailing Address - Fax:713-861-6647
Practice Address - Street 1:4411 DACOMA ST
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8611
Practice Address - Country:US
Practice Address - Phone:713-861-2684
Practice Address - Fax:713-861-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care