Provider Demographics
NPI:1306395843
Name:DYNAMIC HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:DYNAMIC HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BASIRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-279-0637
Mailing Address - Street 1:823 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5258
Mailing Address - Country:US
Mailing Address - Phone:832-279-0637
Mailing Address - Fax:
Practice Address - Street 1:823 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5258
Practice Address - Country:US
Practice Address - Phone:832-279-0637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child