Provider Demographics
NPI:1497284053
Name:PIONEER PERSONAL CARE SERVICES
Entity Type:Organization
Organization Name:PIONEER PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EISHOLLA
Authorized Official - Middle Name:V
Authorized Official - Last Name:LIMBRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCCA
Authorized Official - Phone:281-827-7854
Mailing Address - Street 1:2226 SPRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-6138
Mailing Address - Country:US
Mailing Address - Phone:281-827-7854
Mailing Address - Fax:
Practice Address - Street 1:5202 CAVALCADE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-3942
Practice Address - Country:US
Practice Address - Phone:281-827-7854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health