Provider Demographics
NPI:1437823929
Name:ASSENTIAL THERAPEUTIC HOMECARE LLC
Entity Type:Organization
Organization Name:ASSENTIAL THERAPEUTIC HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONNET
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-795-6162
Mailing Address - Street 1:2616 S. LOOP WEST
Mailing Address - Street 2:STE 465
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2646
Mailing Address - Country:US
Mailing Address - Phone:713-325-2819
Mailing Address - Fax:346-319-3888
Practice Address - Street 1:2616 S. LOOP WEST
Practice Address - Street 2:STE 465
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2646
Practice Address - Country:US
Practice Address - Phone:713-325-2819
Practice Address - Fax:346-319-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child