Provider Demographics
NPI:1295027118
Name:PARKER PLACE HOMEHEALTH CARE
Entity type:Organization
Organization Name:PARKER PLACE HOMEHEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORNIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-449-3233
Mailing Address - Street 1:10914 BRIDLEPARK CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-1890
Mailing Address - Country:US
Mailing Address - Phone:281-449-3233
Mailing Address - Fax:
Practice Address - Street 1:10914 BRIDLEPARK CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-1890
Practice Address - Country:US
Practice Address - Phone:281-449-3233
Practice Address - Fax:281-449-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB107919OtherMEDICARE PTAN
TX215219103Medicaid
TX215219101Medicaid
TX215219102Medicaid