Provider Demographics
NPI:1992760920
Name:HARRIS COUNTY HOMECARE, INC.
Entity type:Organization
Organization Name:HARRIS COUNTY HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-291-2601
Mailing Address - Street 1:706 MAGIC OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-8931
Mailing Address - Country:US
Mailing Address - Phone:713-291-2601
Mailing Address - Fax:281-651-1768
Practice Address - Street 1:706 MAGIC OAKS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-8931
Practice Address - Country:US
Practice Address - Phone:713-291-2601
Practice Address - Fax:281-651-1768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009386251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677886Medicare ID - Type UnspecifiedPROVIDER NUMBER