Provider Demographics
NPI:1992481287
Name:WESERVE HOME CARE LLC
Entity type:Organization
Organization Name:WESERVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAPAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-8492
Mailing Address - Street 1:16423 ROSEMARY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8110
Mailing Address - Country:US
Mailing Address - Phone:832-275-8492
Mailing Address - Fax:832-604-1001
Practice Address - Street 1:16423 ROSEMARY GROVE LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8110
Practice Address - Country:US
Practice Address - Phone:832-275-8492
Practice Address - Fax:832-604-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care