Provider Demographics
NPI:1649724022
Name:DOUGLAS HOME CARE
Entity type:Organization
Organization Name:DOUGLAS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAQUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-527-3849
Mailing Address - Street 1:3314 N MACGREGOR WAY
Mailing Address - Street 2:#2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7849
Mailing Address - Country:US
Mailing Address - Phone:832-527-3849
Mailing Address - Fax:
Practice Address - Street 1:3314 N MACGREGOR WAY
Practice Address - Street 2:#2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7849
Practice Address - Country:US
Practice Address - Phone:832-527-3849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health