Provider Demographics
NPI:1326108051
Name:PERPETUAL HOME HEALTH LLC
Entity Type:Organization
Organization Name:PERPETUAL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOCORRO
Authorized Official - Middle Name:AUREUS
Authorized Official - Last Name:MALEGRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CCRN
Authorized Official - Phone:281-353-0797
Mailing Address - Street 1:14614 FALLING CREEK DR
Mailing Address - Street 2:SUITE #128
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2942
Mailing Address - Country:US
Mailing Address - Phone:281-444-1789
Mailing Address - Fax:281-444-1729
Practice Address - Street 1:14614 FALLING CREEK DR
Practice Address - Street 2:SUITE #128
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2942
Practice Address - Country:US
Practice Address - Phone:281-444-1789
Practice Address - Fax:281-444-1729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800722930251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX800722930OtherSECRETARY OF STATE
TX800722930OtherSECRETARY OF STATE