Provider Demographics
NPI:1023725173
Name:IN HOME CAREGIVERS OF CYPRESS LLC
Entity type:Organization
Organization Name:IN HOME CAREGIVERS OF CYPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZOLA MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:832-949-1840
Mailing Address - Street 1:7112 LITTLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1025
Mailing Address - Country:US
Mailing Address - Phone:832-949-1840
Mailing Address - Fax:832-218-6382
Practice Address - Street 1:7112 LITTLE CREEK CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1025
Practice Address - Country:US
Practice Address - Phone:832-949-1840
Practice Address - Fax:832-218-6382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care