Provider Demographics
NPI:1609861541
Name:HOMEHEALTH UNLIMITED,INC
Entity Type:Organization
Organization Name:HOMEHEALTH UNLIMITED,INC
Other - Org Name:HOME HEALTH UNLIMITED,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUIDRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MS
Authorized Official - Phone:713-981-1466
Mailing Address - Street 1:10101 FONDREN RD
Mailing Address - Street 2:SUITE 134
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4564
Mailing Address - Country:US
Mailing Address - Phone:713-981-1466
Mailing Address - Fax:713-981-1546
Practice Address - Street 1:10101 FONDREN RD
Practice Address - Street 2:SUITE 134
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4556
Practice Address - Country:US
Practice Address - Phone:713-981-1466
Practice Address - Fax:713-981-1546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005440251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX023857Medicaid
TX458091Medicare PIN
TX458091Medicare ID - Type Unspecified