Provider Demographics
NPI:1164565859
Name:MOSHER INITIATIVES INC.
Entity Type:Organization
Organization Name:MOSHER INITIATIVES INC.
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-441-7760
Mailing Address - Street 1:2508 W DAVIS ST
Mailing Address - Street 2:SUITE #203
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2060
Mailing Address - Country:US
Mailing Address - Phone:936-441-7760
Mailing Address - Fax:936-788-7750
Practice Address - Street 1:2508 W DAVIS ST
Practice Address - Street 2:SUITE #203
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2060
Practice Address - Country:US
Practice Address - Phone:936-441-7760
Practice Address - Fax:936-788-7750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011013251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health