Provider Demographics
NPI:1821243403
Name:ELDERLY HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:ELDERLY HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARICE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:713-956-8183
Mailing Address - Street 1:8045 ANTOINE
Mailing Address - Street 2:#299
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088
Mailing Address - Country:US
Mailing Address - Phone:713-956-8183
Mailing Address - Fax:713-956-6623
Practice Address - Street 1:8045 ANTOINE DR
Practice Address - Street 2:#299
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-4345
Practice Address - Country:US
Practice Address - Phone:713-956-8183
Practice Address - Fax:713-956-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001536251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health