Provider Demographics
NPI:1790188696
Name:SIDICO HEALTHCARE LLC
Entity Type:Organization
Organization Name:SIDICO HEALTHCARE LLC
Other - Org Name:HARRIS COUNTY HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-695-2909
Mailing Address - Street 1:4011 TURTLE TRAILS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2744
Mailing Address - Country:US
Mailing Address - Phone:713-695-2909
Mailing Address - Fax:
Practice Address - Street 1:5800 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4923
Practice Address - Country:US
Practice Address - Phone:713-695-2909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013861251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health