Provider Demographics
NPI:1598145740
Name:AYONG HEALTH CARE LLC
Entity Type:Organization
Organization Name:AYONG HEALTH CARE LLC
Other - Org Name:H & J HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:N
Authorized Official - Last Name:AYONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-443-5829
Mailing Address - Street 1:13835 WESTHOLLOW PARK DR APT 2805
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1885
Mailing Address - Country:US
Mailing Address - Phone:832-443-5829
Mailing Address - Fax:
Practice Address - Street 1:13835 WESTHOLLOW PARK DR APT 2805
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1885
Practice Address - Country:US
Practice Address - Phone:832-443-5829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child