Provider Demographics
NPI:1225373491
Name:1212 SENIOR CARE, INC
Entity Type:Organization
Organization Name:1212 SENIOR CARE, INC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:CORKRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-484-0200
Mailing Address - Street 1:321 GRAND RANCH LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2399
Mailing Address - Country:US
Mailing Address - Phone:281-484-0200
Mailing Address - Fax:281-484-0222
Practice Address - Street 1:14200 GULF FWY STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5361
Practice Address - Country:US
Practice Address - Phone:281-484-0200
Practice Address - Fax:281-484-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care