Provider Demographics
NPI:1114203197
Name:HACINTH HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:HACINTH HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEILA
Authorized Official - Middle Name:HACINTH
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-528-7881
Mailing Address - Street 1:19943 CYPRESSWOOD CRK
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-3092
Mailing Address - Country:US
Mailing Address - Phone:281-528-7881
Mailing Address - Fax:281-528-7881
Practice Address - Street 1:19943 CYPRESSWOOD CRK
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-3092
Practice Address - Country:US
Practice Address - Phone:281-528-7881
Practice Address - Fax:281-528-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-23
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX462906251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health