Provider Demographics
NPI:1477650737
Name:HARBOUR HOMECARE NURSING AND REHAB
Entity type:Organization
Organization Name:HARBOUR HOMECARE NURSING AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINBISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:361-790-9001
Mailing Address - Street 1:1109 HIGHWAY 35 N
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-3120
Mailing Address - Country:US
Mailing Address - Phone:361-790-9001
Mailing Address - Fax:361-790-9003
Practice Address - Street 1:1101 PALMETTO AVE # A
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-7301
Practice Address - Country:US
Practice Address - Phone:361-790-9001
Practice Address - Fax:361-790-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX630727251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health