Provider Demographics
NPI:1124086921
Name:HOUSTON HOME HEALTH INC
Entity type:Organization
Organization Name:HOUSTON HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMAMI
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN CWCN
Authorized Official - Phone:7136-686-9595
Mailing Address - Street 1:2616 SOUTH LOOP WEST
Mailing Address - Street 2:SUITE 615
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:713-668-9595
Mailing Address - Fax:713-668-9590
Practice Address - Street 1:2616 SOUTH LOOP W
Practice Address - Street 2:SUITE 615
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2662
Practice Address - Country:US
Practice Address - Phone:713-668-9595
Practice Address - Fax:713-668-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008383251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
679322Medicare ID - Type Unspecified