Provider Demographics
NPI:1619205887
Name:HOUSTON COMMUNITY HOME CARE, INC
Entity Type:Organization
Organization Name:HOUSTON COMMUNITY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-324-3500
Mailing Address - Street 1:2110 WHITE FEATHER TRL
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-3201
Mailing Address - Country:US
Mailing Address - Phone:281-324-3500
Mailing Address - Fax:281-324-6189
Practice Address - Street 1:2110 WHITE FEATHER TRL
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-3201
Practice Address - Country:US
Practice Address - Phone:281-324-3500
Practice Address - Fax:281-324-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX452388251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2110111Medicaid
TX2110111OtherSELECTED INSURANCES AND HMO'S
TX2110111Medicaid