Provider Demographics
NPI:1184095507
Name:CHARITY HOME HEALTH
Entity type:Organization
Organization Name:CHARITY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:318-280-0284
Mailing Address - Street 1:9404 WEST RD
Mailing Address - Street 2:323
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-7233
Mailing Address - Country:US
Mailing Address - Phone:318-280-0284
Mailing Address - Fax:
Practice Address - Street 1:9404 WEST RD
Practice Address - Street 2:323
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-7233
Practice Address - Country:US
Practice Address - Phone:318-280-0284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care