Provider Demographics
NPI:1871030734
Name:AEON HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AEON HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-240-2518
Mailing Address - Street 1:7474 S KIRKWOOD RD STE 204B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3349
Mailing Address - Country:US
Mailing Address - Phone:713-240-2518
Mailing Address - Fax:832-218-7307
Practice Address - Street 1:7474 S KIRKWOOD RD STE 204B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3349
Practice Address - Country:US
Practice Address - Phone:713-240-2518
Practice Address - Fax:832-218-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care