Provider Demographics
NPI:1457309296
Name:LANOITAN HOME HEALTH CARE OF TEXAS, INC.
Entity Type:Organization
Organization Name:LANOITAN HOME HEALTH CARE OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DRN, BSN, MSN
Authorized Official - Phone:713-777-4185
Mailing Address - Street 1:9000 W BELLFORT ST
Mailing Address - Street 2:SUITE 440
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2474
Mailing Address - Country:US
Mailing Address - Phone:713-777-4185
Mailing Address - Fax:713-777-4330
Practice Address - Street 1:9000 W BELLFORT ST
Practice Address - Street 2:SUITE 440
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2474
Practice Address - Country:US
Practice Address - Phone:713-777-4185
Practice Address - Fax:713-777-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002042251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457150Medicare ID - Type UnspecifiedPROVIDER NUMBER