Provider Demographics
NPI:1114558111
Name:TEXAS SUPERIOR HOME HEALTH CARE
Entity Type:Organization
Organization Name:TEXAS SUPERIOR HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-409-2788
Mailing Address - Street 1:2703 J R DR
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-3483
Mailing Address - Country:US
Mailing Address - Phone:832-588-5329
Mailing Address - Fax:
Practice Address - Street 1:2703 J R DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-3483
Practice Address - Country:US
Practice Address - Phone:832-588-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health