Provider Demographics
NPI:1619051083
Name:CHILDREN'S HOME CARE, LLC
Entity Type:Organization
Organization Name:CHILDREN'S HOME CARE, LLC
Other - Org Name:CHILDREN'S HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCIAL MGMT
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASPERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-921-2301
Mailing Address - Street 1:14950 HEATHROW FOREST PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032
Mailing Address - Country:US
Mailing Address - Phone:281-921-2301
Mailing Address - Fax:281-921-2305
Practice Address - Street 1:14950 HEATHROW FOREST PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032
Practice Address - Country:US
Practice Address - Phone:281-921-2301
Practice Address - Fax:281-921-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010758251B00000X, 251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181063201OtherTPI
TX181063201Medicaid
TX010758OtherLICENSE NUMBER