Provider Demographics
NPI:1356772768
Name:CAROLYN'S HOME HEALTH STAFFING SERVICE
Entity type:Organization
Organization Name:CAROLYN'S HOME HEALTH STAFFING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:832-891-7234
Mailing Address - Street 1:5807 BELCREST STREET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033
Mailing Address - Country:US
Mailing Address - Phone:832-891-7234
Mailing Address - Fax:713-738-1427
Practice Address - Street 1:5807 BELCREST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-2141
Practice Address - Country:US
Practice Address - Phone:832-891-7234
Practice Address - Fax:713-738-1427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health