Provider Demographics
NPI:1164844650
Name:TOTAL PRIVATE HOUSTONHOME HEALTH
Entity Type:Organization
Organization Name:TOTAL PRIVATE HOUSTONHOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-623-2822
Mailing Address - Street 1:6817 HAZEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-6116
Mailing Address - Country:US
Mailing Address - Phone:713-681-0605
Mailing Address - Fax:713-623-2822
Practice Address - Street 1:6817 HAZEN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-6116
Practice Address - Country:US
Practice Address - Phone:713-681-0605
Practice Address - Fax:713-623-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health