Provider Demographics
NPI:1619542131
Name:MOTHERHOOD HOME CARE LLC
Entity Type:Organization
Organization Name:MOTHERHOOD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MUNROSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-851-4608
Mailing Address - Street 1:PO BOX 1914
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77522-1914
Mailing Address - Country:US
Mailing Address - Phone:281-851-4608
Mailing Address - Fax:
Practice Address - Street 1:10511 BUCKEYE ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-0815
Practice Address - Country:US
Practice Address - Phone:281-851-4608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management