Provider Demographics
NPI:1902406663
Name:TARGET HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:TARGET HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-283-1445
Mailing Address - Street 1:5600 S WILLOW DR STE 203
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4700
Mailing Address - Country:US
Mailing Address - Phone:713-283-1445
Mailing Address - Fax:833-731-0024
Practice Address - Street 1:5600 S WILLOW DR STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4700
Practice Address - Country:US
Practice Address - Phone:713-283-1445
Practice Address - Fax:833-731-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health