Provider Demographics
NPI:1366687238
Name:HEALTHCARE AT YOUR DOOR
Entity Type:Organization
Organization Name:HEALTHCARE AT YOUR DOOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:AMORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS FNP-C
Authorized Official - Phone:281-690-0380
Mailing Address - Street 1:17424 W GRAND PKWY S
Mailing Address - Street 2:SUITE 416
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2564
Mailing Address - Country:US
Mailing Address - Phone:281-690-0380
Mailing Address - Fax:713-782-0526
Practice Address - Street 1:17424 W GRAND PKWY S
Practice Address - Street 2:SUITE 416
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2564
Practice Address - Country:US
Practice Address - Phone:281-690-0380
Practice Address - Fax:713-782-0526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2013-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX640737163W00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty