Provider Demographics
NPI:1932586799
Name:AGE IN PLACE LLC
Entity Type:Organization
Organization Name:AGE IN PLACE LLC
Other - Org Name:AGE IN PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-303-1066
Mailing Address - Street 1:9894 BISSONNET ST STE 445
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8243
Mailing Address - Country:US
Mailing Address - Phone:346-240-3073
Mailing Address - Fax:346-240-3074
Practice Address - Street 1:9894 BISSONNET ST STE 445
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8243
Practice Address - Country:US
Practice Address - Phone:346-240-3073
Practice Address - Fax:346-240-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)