1528482429 NPI number — ASSISTANCE WITH DAILY LIVING HOMECARE, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528482429 NPI number — ASSISTANCE WITH DAILY LIVING HOMECARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSISTANCE WITH DAILY LIVING HOMECARE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528482429
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17424 W GRAND PKWY S # 285
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77479-2564
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-446-3759
Provider Business Mailing Address Fax Number:
713-446-3759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2607 BARTON GROVE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77479-5499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-446-3759
Provider Business Practice Location Address Fax Number:
713-446-3759
Provider Enumeration Date:
02/12/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MINJARES
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
CHRISTIAN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
713-446-3759

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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