Provider Demographics
NPI:1447499074
Name:EASTERN HOME HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:EASTERN HOME HEALTH CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO / COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELANA-JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PROFESSOR
Authorized Official - Phone:832-790-0881
Mailing Address - Street 1:4115 TEXIAN FOREST TRL STE B
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3751
Mailing Address - Country:US
Mailing Address - Phone:832-790-0881
Mailing Address - Fax:
Practice Address - Street 1:4115 TEXIAN FOREST TRL
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:832-790-0881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS INFORMING SISTERS TOGETHER EXPLORING RESOURCE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-04
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care