Provider Demographics
NPI:1316086689
Name:CONTINUITY CARE HOME HEALTH AGENCY, LLC
Entity type:Organization
Organization Name:CONTINUITY CARE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:TEDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-348-2328
Mailing Address - Street 1:1110 KINGWOOD DR STE 230
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3055
Mailing Address - Country:US
Mailing Address - Phone:281-348-2328
Mailing Address - Fax:281-358-2680
Practice Address - Street 1:1110 KINGWOOD DR STE 230
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3055
Practice Address - Country:US
Practice Address - Phone:281-348-2328
Practice Address - Fax:281-358-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9744OtherMEDICARE PTAN