Provider Demographics
NPI:1598098279
Name:SILVER-SPRING HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:SILVER-SPRING HOME HEALTHCARE SERVICES INC
Other - Org Name:SILVER-SPRING HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-727-6308
Mailing Address - Street 1:25700 INTERSTATE 45 N STE 440
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1967
Mailing Address - Country:US
Mailing Address - Phone:281-651-2268
Mailing Address - Fax:281-656-5230
Practice Address - Street 1:25700 INTERSTATE 45 N STE 440
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1967
Practice Address - Country:US
Practice Address - Phone:281-651-2268
Practice Address - Fax:281-656-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013290251E00000X
320600000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220736701Medicaid
TX220736702Medicaid
TX220736703Medicaid