Provider Demographics
NPI:1174505051
Name:NEW DIMENSIONS HOME HEALTHCARE PLUS, INC.
Entity Type:Organization
Organization Name:NEW DIMENSIONS HOME HEALTHCARE PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGHTFOOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-998-9611
Mailing Address - Street 1:14020 HIGHWAY 3, SUITE 120
Mailing Address - Street 2:NEW DIMENSIONS HOME HEALTHCARE PLUS
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1601
Mailing Address - Country:US
Mailing Address - Phone:281-998-9611
Mailing Address - Fax:281-998-9308
Practice Address - Street 1:14020 HIGHWAY 3, SUITE 120
Practice Address - Street 2:NEW DIMENSIONS HOME HEALTHCARE PLUS
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1601
Practice Address - Country:US
Practice Address - Phone:281-998-9611
Practice Address - Fax:281-998-9308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 3747P1801X
TX007915251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82877OtherEVERCARE LTC
TX10013967OtherAMERIGROUP PROVIDER NUMBE
TX176999401OtherTMHP
TX679168Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER