Provider Demographics
NPI:1871205732
Name:YOU SAFE HERE HOME CARE LLC
Entity type:Organization
Organization Name:YOU SAFE HERE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-535-5410
Mailing Address - Street 1:201 PRUITT RD
Mailing Address - Street 2:SUITE 1134
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3175
Mailing Address - Country:US
Mailing Address - Phone:318-535-5410
Mailing Address - Fax:
Practice Address - Street 1:201 PRUITT RD
Practice Address - Street 2:SUITE 1134
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3175
Practice Address - Country:US
Practice Address - Phone:318-535-5410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty