Provider Demographics
NPI:1669457867
Name:UNITED HOUSTON HOME CARE, INC.
Entity Type:Organization
Organization Name:UNITED HOUSTON HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:F
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-935-1234
Mailing Address - Street 1:8900 EMMETT F LOWRY EXPY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-9116
Mailing Address - Country:US
Mailing Address - Phone:409-935-7925
Mailing Address - Fax:409-935-7926
Practice Address - Street 1:4008 VISTA RD
Practice Address - Street 2:SUITE 200B
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2156
Practice Address - Country:US
Practice Address - Phone:281-335-5668
Practice Address - Fax:281-335-5686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8196251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0159452501Medicaid
TXHH301HOtherBLUE CROSS BLUE SHIELD
TXHH301HOtherBLUE CROSS BLUE SHIELD