Provider Demographics
NPI:1043676505
Name:A AND E PERSONAL CARE ASSISTANCE SERVICES
Entity type:Organization
Organization Name:A AND E PERSONAL CARE ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANTRELLE
Authorized Official - Middle Name:TRIVETTE
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-812-9816
Mailing Address - Street 1:2931 UMIAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4839
Mailing Address - Country:US
Mailing Address - Phone:832-812-9816
Mailing Address - Fax:
Practice Address - Street 1:2931 UMIAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4839
Practice Address - Country:US
Practice Address - Phone:832-812-9816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care