Provider Demographics
NPI:1760701189
Name:SUSAN RHODES ENTERPRISES, LLC
Entity Type:Organization
Organization Name:SUSAN RHODES ENTERPRISES, LLC
Other - Org Name:HOME HEALTH SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-748-9383
Mailing Address - Street 1:1003 CARSON DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3142
Mailing Address - Country:US
Mailing Address - Phone:281-748-9383
Mailing Address - Fax:281-259-1766
Practice Address - Street 1:1003 CARSON DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3142
Practice Address - Country:US
Practice Address - Phone:281-748-9383
Practice Address - Fax:281-259-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health