Provider Demographics
NPI:1346588373
Name:HONEYBEESENIORCARESERVICES
Entity Type:Organization
Organization Name:HONEYBEESENIORCARESERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:SELDERS
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:832-343-0215
Mailing Address - Street 1:22820 IMPERIAL VALLEY DR APT 708
Mailing Address - Street 2:N/A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1108
Mailing Address - Country:US
Mailing Address - Phone:832-343-0215
Mailing Address - Fax:
Practice Address - Street 1:22820 IMPERIAL VALLEY DR # 3708
Practice Address - Street 2:N/A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1055
Practice Address - Country:US
Practice Address - Phone:832-343-0215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15031281311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home