Provider Demographics
NPI:1417441635
Name:HOUSTON CAREGIVER, LLC
Entity Type:Organization
Organization Name:HOUSTON CAREGIVER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REGIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-942-8900
Mailing Address - Street 1:16920 KUYKENDAHL RD STE 218
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-1634
Mailing Address - Country:US
Mailing Address - Phone:832-729-4145
Mailing Address - Fax:
Practice Address - Street 1:16920 KUYKENDAHL RD STE 218
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-1634
Practice Address - Country:US
Practice Address - Phone:832-729-4145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care