Provider Demographics
NPI:1083225510
Name:A CARYNG HEALTH PROFESSIONAL
Entity Type:Organization
Organization Name:A CARYNG HEALTH PROFESSIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-291-4768
Mailing Address - Street 1:10910 S. GESSNER RD
Mailing Address - Street 2:P.O. BOX 710941
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071
Mailing Address - Country:US
Mailing Address - Phone:832-291-4768
Mailing Address - Fax:
Practice Address - Street 1:2010 HUDSPETH DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-3046
Practice Address - Country:US
Practice Address - Phone:832-291-4768
Practice Address - Fax:713-583-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health