Provider Demographics
NPI:1427215672
Name:1ST ACCURATE HOME HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:1ST ACCURATE HOME HEALTHCARE CORPORATION
Other - Org Name:1ST ACCURATE HOME HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDMOND
Authorized Official - Last Name:TANNOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-681-3500
Mailing Address - Street 1:8650 KEMPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-4318
Mailing Address - Country:US
Mailing Address - Phone:713-681-3500
Mailing Address - Fax:713-956-1957
Practice Address - Street 1:8650 KEMPWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-4318
Practice Address - Country:US
Practice Address - Phone:713-681-3500
Practice Address - Fax:713-956-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012253251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012253OtherTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
TX747123Medicare Oscar/Certification