Provider Demographics
NPI:1770305609
Name:SEVYN HAVEN HOMECARE LLC
Entity type:Organization
Organization Name:SEVYN HAVEN HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CHIEF EXEC OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHMEKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-818-1735
Mailing Address - Street 1:1601 INDUSTRIAL BLVD STE 3068
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2603
Mailing Address - Country:US
Mailing Address - Phone:281-818-1735
Mailing Address - Fax:
Practice Address - Street 1:1601 INDUSTRIAL BLVD STE 3068
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2603
Practice Address - Country:US
Practice Address - Phone:281-818-1735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty