Provider Demographics
NPI:1235426131
Name:UPCARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:UPCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-434-0772
Mailing Address - Street 1:9896 BISSONNET ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8104
Mailing Address - Country:US
Mailing Address - Phone:281-302-6519
Mailing Address - Fax:281-240-6335
Practice Address - Street 1:9896 BISSONNET ST
Practice Address - Street 2:SUITE 125
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8104
Practice Address - Country:US
Practice Address - Phone:281-302-6519
Practice Address - Fax:281-240-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747853Medicare Oscar/Certification