Provider Demographics
NPI:1376189969
Name:AMERI CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:AMERI CARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:CARE
Authorized Official - Last Name:JASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-674-5616
Mailing Address - Street 1:11625 W HARDY TOLL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076
Mailing Address - Country:US
Mailing Address - Phone:713-674-5616
Mailing Address - Fax:713-674-5620
Practice Address - Street 1:11625 W HARDY TOLL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076
Practice Address - Country:US
Practice Address - Phone:713-674-5616
Practice Address - Fax:713-674-5620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX803451209Medicaid