Provider Demographics
NPI:1477880359
Name:FILLINGAME ENTERPRISES, L.L.C.
Entity Type:Organization
Organization Name:FILLINGAME ENTERPRISES, L.L.C.
Other - Org Name:HOME CARE ASSISTANCE 1-866-4LIVEIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FILLINGAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-535-9173
Mailing Address - Street 1:411 SABAL PALM LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7771
Mailing Address - Country:US
Mailing Address - Phone:713-436-9601
Mailing Address - Fax:713-574-6206
Practice Address - Street 1:4872 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1604
Practice Address - Country:US
Practice Address - Phone:713-535-9173
Practice Address - Fax:713-574-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care