Provider Demographics
NPI:1932132727
Name:A & L HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:A & L HEALTH CARE SERVICES, LLC
Other - Org Name:HUMANA HOME HEALTH AGENCY,LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOROHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-261-6655
Mailing Address - Street 1:1927 VILLAGE PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3076
Mailing Address - Country:US
Mailing Address - Phone:281-261-6655
Mailing Address - Fax:281-261-6657
Practice Address - Street 1:1927 VILLAGE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3076
Practice Address - Country:US
Practice Address - Phone:281-261-6655
Practice Address - Fax:281-261-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010027251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677960Medicare ID - Type UnspecifiedHOME HEALTH AGENCY