Provider Demographics
NPI:1467643056
Name:JOSEPHINE HOME CARE
Entity Type:Organization
Organization Name:JOSEPHINE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELOSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYAL- CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-437-9800
Mailing Address - Street 1:7510 DAWNBRIAR CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3363
Mailing Address - Country:US
Mailing Address - Phone:281-437-9800
Mailing Address - Fax:281-416-8663
Practice Address - Street 1:7510 DAWNBRIAR CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3363
Practice Address - Country:US
Practice Address - Phone:281-437-9800
Practice Address - Fax:281-416-8663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118362310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility