Provider Demographics
NPI:1285630764
Name:SEV HOME CARE, INC.
Entity Type:Organization
Organization Name:SEV HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:DIONES-ZALAMEA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:281-420-1427
Mailing Address - Street 1:407 W BAKER RD STE C
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2381
Mailing Address - Country:US
Mailing Address - Phone:281-420-1427
Mailing Address - Fax:281-420-4513
Practice Address - Street 1:407 W BAKER RD STE C
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2381
Practice Address - Country:US
Practice Address - Phone:281-420-1427
Practice Address - Fax:281-420-4513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008280251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679272Medicare ID - Type Unspecified