Provider Demographics
NPI:1376598896
Name:KIDS HOME CARE OF TEXAS, INC
Entity Type:Organization
Organization Name:KIDS HOME CARE OF TEXAS, INC
Other - Org Name:SPECIAL KIDS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-812-7000
Mailing Address - Street 1:1225 NORTH LOOP W
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1795
Mailing Address - Country:US
Mailing Address - Phone:713-812-7000
Mailing Address - Fax:713-812-7555
Practice Address - Street 1:1225 NORTH LOOP W STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1795
Practice Address - Country:US
Practice Address - Phone:713-812-8822
Practice Address - Fax:713-812-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008005251E00000X, 251E00000X, 251E00000X
TX007459251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168795601Medicaid
TX216949201Medicaid
TX025220701Medicaid
TX025220702Medicaid
TX008005OtherTEXAS STATE LICENSE NUMBE
TX007459OtherTEXAS STATE LICENSE
TX216949201Medicaid
TX168795601Medicaid
TX216949201Medicaid
679246Medicare Oscar/Certification
TX025220701Medicaid