Provider Demographics
NPI:1396940888
Name:HARVEST OF LOVE COMMUNITY SERVICES
Entity type:Organization
Organization Name:HARVEST OF LOVE COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-820-2724
Mailing Address - Street 1:PO BOX 38696
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77238-8696
Mailing Address - Country:US
Mailing Address - Phone:281-820-2724
Mailing Address - Fax:281-820-2724
Practice Address - Street 1:3910 BADGER FOREST DR
Practice Address - Street 2:SUITE 2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-7417
Practice Address - Country:US
Practice Address - Phone:281-820-2724
Practice Address - Fax:281-820-2724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty