Provider Demographics
NPI:1962696989
Name:MOTHER'S ADULT DAY CARE & HEALTH CENTER, LLC
Entity type:Organization
Organization Name:MOTHER'S ADULT DAY CARE & HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-347-3950
Mailing Address - Street 1:18122 BAYOU MEAD TRL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3078
Mailing Address - Country:US
Mailing Address - Phone:832-347-3950
Mailing Address - Fax:281-590-8701
Practice Address - Street 1:5337 EASTHAMPTON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-6160
Practice Address - Country:US
Practice Address - Phone:281-590-8700
Practice Address - Fax:281-590-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-03
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health