Provider Demographics
NPI:1942338611
Name:PERPETUAL HEALTH HOME CARE, INC.
Entity Type:Organization
Organization Name:PERPETUAL HEALTH HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BLODGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-859-4871
Mailing Address - Street 1:8311A WINDFERN RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1550
Mailing Address - Country:US
Mailing Address - Phone:713-856-8002
Mailing Address - Fax:
Practice Address - Street 1:8311A WINDFERN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-1550
Practice Address - Country:US
Practice Address - Phone:713-856-8002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008728251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679477Medicare ID - Type Unspecified