Provider Demographics
NPI:1952010886
Name:ELDERLY HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ELDERLY HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-721-7998
Mailing Address - Street 1:PO BOX 40342
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77240-0342
Mailing Address - Country:US
Mailing Address - Phone:832-721-7998
Mailing Address - Fax:866-580-1983
Practice Address - Street 1:5700 PINEMONT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2602
Practice Address - Country:US
Practice Address - Phone:281-836-3494
Practice Address - Fax:866-580-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care