Provider Demographics
NPI:1407437767
Name:FLORAC HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:FLORAC HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEAMIA
Authorized Official - Middle Name:EKE
Authorized Official - Last Name:AKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-890-8367
Mailing Address - Street 1:8300 BISSONNET ST STE 480
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3914
Mailing Address - Country:US
Mailing Address - Phone:832-890-8367
Mailing Address - Fax:281-988-5390
Practice Address - Street 1:8300 BISSONNET ST STE 480
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3914
Practice Address - Country:US
Practice Address - Phone:832-890-8367
Practice Address - Fax:281-988-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty