Provider Demographics
NPI:1649806944
Name:IMPACT HOME CARE AND STAFFING
Entity type:Organization
Organization Name:IMPACT HOME CARE AND STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ROCK
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-662-9760
Mailing Address - Street 1:6401 BINGLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-1329
Mailing Address - Country:US
Mailing Address - Phone:281-546-0518
Mailing Address - Fax:832-827-3993
Practice Address - Street 1:6401 BINGLE RD STE 202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-1329
Practice Address - Country:US
Practice Address - Phone:281-546-0518
Practice Address - Fax:832-827-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care