Provider Demographics
NPI:1811947278
Name:CONSOLIDATED HOME HEALTH HOLDINGS, LLC
Entity type:Organization
Organization Name:CONSOLIDATED HOME HEALTH HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:WILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-238-8775
Mailing Address - Street 1:11929 UNIVERSITY BLVD STE 2M
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4755
Mailing Address - Country:US
Mailing Address - Phone:281-238-8775
Mailing Address - Fax:281-491-7812
Practice Address - Street 1:11929 UNIVERSITY BLVD STE 2M
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4755
Practice Address - Country:US
Practice Address - Phone:281-238-8775
Practice Address - Fax:281-491-7812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX003628251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024062402Medicaid
TX024062401Medicaid