Provider Demographics
NPI:1467942565
Name:POST ACUTE HOME CARE PLLC
Entity Type:Organization
Organization Name:POST ACUTE HOME CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:832-262-1299
Mailing Address - Street 1:650 N SAM HOUSTON PKWY E STE 105B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-5918
Mailing Address - Country:US
Mailing Address - Phone:832-262-1299
Mailing Address - Fax:832-201-0447
Practice Address - Street 1:4714 FM 1488 RD STE 121
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-4929
Practice Address - Country:US
Practice Address - Phone:832-262-1299
Practice Address - Fax:832-201-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120465363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty