Provider Demographics
NPI:1477832707
Name:PR HOME CARE, INC.
Entity Type:Organization
Organization Name:PR HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:832-755-4728
Mailing Address - Street 1:614 TEXAS PARKWAY
Mailing Address - Street 2:SUITE # 400
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489
Mailing Address - Country:US
Mailing Address - Phone:832-755-4728
Mailing Address - Fax:281-403-3621
Practice Address - Street 1:614 TEXAS PKWY
Practice Address - Street 2:SUITE # 400
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1234
Practice Address - Country:US
Practice Address - Phone:832-755-4728
Practice Address - Fax:281-403-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health