Provider Demographics
NPI:1679852594
Name:HOME HEALTH PLACEMENT
Entity Type:Organization
Organization Name:HOME HEALTH PLACEMENT
Other - Org Name:ESKO VOM ENTERPRISES INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:PETTIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-213-2988
Mailing Address - Street 1:14750 AUTUMN GLEN CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8097
Mailing Address - Country:US
Mailing Address - Phone:281-763-8358
Mailing Address - Fax:866-564-4156
Practice Address - Street 1:14750 AUTUMN GLEN CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8097
Practice Address - Country:US
Practice Address - Phone:281-763-8358
Practice Address - Fax:866-564-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR197092251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management