Provider Demographics
NPI:1851623565
Name:SOUTHWEST HOME HEALTH CARE HOUSTON LLC
Entity Type:Organization
Organization Name:SOUTHWEST HOME HEALTH CARE HOUSTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-414-9990
Mailing Address - Street 1:801 W ANN ARBOR TRL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1694
Mailing Address - Country:US
Mailing Address - Phone:734-414-9990
Mailing Address - Fax:
Practice Address - Street 1:11504 FALLBROOK DR
Practice Address - Street 2:SUITE 8
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4287
Practice Address - Country:US
Practice Address - Phone:832-688-9392
Practice Address - Fax:832-688-8784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health