Provider Demographics
NPI:1790085934
Name:DAISY CHILDRENS HOMEHEALTH LLC
Entity Type:Organization
Organization Name:DAISY CHILDRENS HOMEHEALTH LLC
Other - Org Name:DBA DAISY KIDS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-895-3400
Mailing Address - Street 1:17314 SH 249
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1140
Mailing Address - Country:US
Mailing Address - Phone:832-895-3400
Mailing Address - Fax:832-895-0293
Practice Address - Street 1:17314 SH 249
Practice Address - Street 2:SUITE 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1140
Practice Address - Country:US
Practice Address - Phone:832-895-3400
Practice Address - Fax:832-895-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX013837251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health