Provider Demographics
NPI:1609117068
Name:PROMINENCE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PROMINENCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:MACK
Authorized Official - Last Name:DUPLECHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-750-1038
Mailing Address - Street 1:7206 GRASSY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3875
Mailing Address - Country:US
Mailing Address - Phone:281-750-1038
Mailing Address - Fax:
Practice Address - Street 1:7206 GRASSY GROVE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3875
Practice Address - Country:US
Practice Address - Phone:281-750-1038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies