Provider Demographics
NPI:1841597309
Name:A & A HOMECARE
Entity Type:Organization
Organization Name:A & A HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALPHOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:832-388-3301
Mailing Address - Street 1:7811 17TH GREEN DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2150
Mailing Address - Country:US
Mailing Address - Phone:832-388-3301
Mailing Address - Fax:832-380-8263
Practice Address - Street 1:10106 BRETTON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-3214
Practice Address - Country:US
Practice Address - Phone:832-388-3301
Practice Address - Fax:832-380-8263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAXPAYER IDENTIFICATION NO