Provider Demographics
NPI:1851383566
Name:DPM ALLIANCE HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:DPM ALLIANCE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-529-1402
Mailing Address - Street 1:5220 SCOTT ST
Mailing Address - Street 2:110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7908
Mailing Address - Country:US
Mailing Address - Phone:713-529-1402
Mailing Address - Fax:713-529-1404
Practice Address - Street 1:5220 SCOTT ST
Practice Address - Street 2:110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7908
Practice Address - Country:US
Practice Address - Phone:713-529-1402
Practice Address - Fax:713-529-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008121251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679313Medicare ID - Type UnspecifiedHOME HEALTH