Provider Demographics
NPI:1629034749
Name:NEW TOTAL CONCEPT HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:NEW TOTAL CONCEPT HOME HEALTH AGENCY, INC
Other - Org Name:TOTAL CONCEPT HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-988-0366
Mailing Address - Street 1:11842 RICEVILLE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3426
Mailing Address - Country:US
Mailing Address - Phone:713-988-0366
Mailing Address - Fax:713-988-0419
Practice Address - Street 1:11842 RICEVILLE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3426
Practice Address - Country:US
Practice Address - Phone:713-988-0366
Practice Address - Fax:713-988-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001004368Medicaid
459308Medicare ID - Type Unspecified