Provider Demographics
NPI:1285871947
Name:RESIDENTIAL HOME HEALTH SERVICES, LLC.
Entity type:Organization
Organization Name:RESIDENTIAL HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:K
Authorized Official - Last Name:ACHUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-455-1124
Mailing Address - Street 1:1560 W BAY AREA BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2667
Mailing Address - Country:US
Mailing Address - Phone:281-956-5660
Mailing Address - Fax:281-956-5662
Practice Address - Street 1:1560 W BAY AREA BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2667
Practice Address - Country:US
Practice Address - Phone:281-956-5660
Practice Address - Fax:281-956-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747249Medicare Oscar/Certification