Provider Demographics
NPI:1063782332
Name:COMPCARE HOME HEALTH
Entity type:Organization
Organization Name:COMPCARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEBODEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-705-0193
Mailing Address - Street 1:9918 VERA JEAN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2208
Mailing Address - Country:US
Mailing Address - Phone:281-705-0193
Mailing Address - Fax:
Practice Address - Street 1:9918 VERA JEAN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2208
Practice Address - Country:US
Practice Address - Phone:281-705-0193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health