Provider Demographics
NPI:1477234839
Name:DREX HOME CARE LLC
Entity Type:Organization
Organization Name:DREX HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-476-9980
Mailing Address - Street 1:5373 W ALABAMA ST STE 539
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5930
Mailing Address - Country:US
Mailing Address - Phone:832-476-9980
Mailing Address - Fax:
Practice Address - Street 1:5373 W ALABAMA ST STE 539
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5930
Practice Address - Country:US
Practice Address - Phone:832-476-9980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care