Provider Demographics
NPI:1245614163
Name:INTEGRATED ADULT DAY HEALTH & IN-HOME SERVICES, LLC
Entity Type:Organization
Organization Name:INTEGRATED ADULT DAY HEALTH & IN-HOME SERVICES, LLC
Other - Org Name:FIRSTLIGHT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR AND MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NAMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-383-8790
Mailing Address - Street 1:5433 WESTHEIMER RD STE 403
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5322
Mailing Address - Country:US
Mailing Address - Phone:713-383-8790
Mailing Address - Fax:
Practice Address - Street 1:5433 WESTHEIMER RD
Practice Address - Street 2:SUITE 403
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5399
Practice Address - Country:US
Practice Address - Phone:713-714-5625
Practice Address - Fax:832-835-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X, 3747P1801X
TX385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care