Provider Demographics
NPI:1568920064
Name:IMPERIAL CAREGIVERS IN-HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:IMPERIAL CAREGIVERS IN-HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-856-1286
Mailing Address - Street 1:11811 NORTH FWY STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3287
Mailing Address - Country:US
Mailing Address - Phone:832-856-1286
Mailing Address - Fax:832-553-7237
Practice Address - Street 1:11811 NORTH FWY STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3287
Practice Address - Country:US
Practice Address - Phone:832-856-1286
Practice Address - Fax:832-553-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care