Provider Demographics
NPI:1841848025
Name:NAAZ PEDIATRIC HOME CARE LLC
Entity type:Organization
Organization Name:NAAZ PEDIATRIC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STETSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-916-1930
Mailing Address - Street 1:103 ANGEL HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2283
Mailing Address - Country:US
Mailing Address - Phone:972-916-1930
Mailing Address - Fax:972-584-1708
Practice Address - Street 1:13313 SOUTHWEST FWY STE 111
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3660
Practice Address - Country:US
Practice Address - Phone:346-758-1510
Practice Address - Fax:972-584-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251F00000XAgenciesHome Infusion
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4222176-01Medicaid
TX4222176-02Medicaid