Provider Demographics
NPI:1083232045
Name:ENTRUSTED PEDIATRIC HOME CARE L.L.C.
Entity type:Organization
Organization Name:ENTRUSTED PEDIATRIC HOME CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-455-7476
Mailing Address - Street 1:3921 STECK AVE STE A120
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8669
Mailing Address - Country:US
Mailing Address - Phone:512-532-4800
Mailing Address - Fax:512-735-2061
Practice Address - Street 1:24624 INTERSTATE 45 N STE 241
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4084
Practice Address - Country:US
Practice Address - Phone:713-829-7149
Practice Address - Fax:713-589-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care