Provider Demographics
NPI:1326080631
Name:APOSTLE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:APOSTLE HOME HEALTHCARE, LLC
Other - Org Name:APOSTLE HOME HEALTHCARE, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:936-646-4076
Mailing Address - Street 1:274 PIN OAK
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-7728
Mailing Address - Country:US
Mailing Address - Phone:936-646-4076
Mailing Address - Fax:936-681-7081
Practice Address - Street 1:274 PIN OAK
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-7728
Practice Address - Country:US
Practice Address - Phone:936-646-4076
Practice Address - Fax:936-681-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009424251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009424OtherTDHS LICENSE NO
TX45D1036393OtherCLIA WAIVER
TX457915Medicare Oscar/Certification