Provider Demographics
NPI:1588976831
Name:HOME HEALTH CARE 5000, LLC
Entity type:Organization
Organization Name:HOME HEALTH CARE 5000, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PHAETRA
Authorized Official - Middle Name:KAFUNYA
Authorized Official - Last Name:RANEY-SEMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:832-222-9156
Mailing Address - Street 1:22001 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 115
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7003
Mailing Address - Country:US
Mailing Address - Phone:832-222-9156
Mailing Address - Fax:832-222-9157
Practice Address - Street 1:22001 SOUTHWEST FWY
Practice Address - Street 2:SUITE 115
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-7003
Practice Address - Country:US
Practice Address - Phone:832-222-9156
Practice Address - Fax:832-222-9157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health