Private Home Healthcare,inc.

NPI #1417221441 in Humble, Texas

Provider Information

NPI Number: 1417221441
Entity Type: Organization
Organization Name: Private Home Healthcare,inc.
Primary Specialty: Home Health
Enumeration Date: Mar 8, 2012
Last Updated: Mar 8, 2012

Practice Location

Address: 9702 N SAM HOUSTON PKWY E APT 338
City: Humble
State: Texas
ZIP Code: 77396-4533
Phone: (281) 253-4136

Authorized Official

Name: CARLA RENEE JACKSON
Title: CEO
Phone: (281) 253-4136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Health Maintenance Organization	302R00000X
Home Health	251E00000X	Primary

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