Provider Demographics
NPI:1770024317
Name:A LIFE SAVER HOME CARE LLC
Entity type:Organization
Organization Name:A LIFE SAVER HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLADELE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS-OLASUPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-745-9450
Mailing Address - Street 1:24014 THORNBIRD CLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4398
Mailing Address - Country:US
Mailing Address - Phone:832-745-9450
Mailing Address - Fax:832-201-6777
Practice Address - Street 1:810 HIGHWAY 6 S STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4010
Practice Address - Country:US
Practice Address - Phone:832-745-9450
Practice Address - Fax:832-201-6777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
311ZA0620X, 372500000X, 374U00000X, 372600000X, 3747A0650X, 3747P1801X, 376J00000X, 385H00000X, 251E00000X
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care