Provider Demographics
NPI:1871941336
Name:HOUSTON CHRISTIAN PERSONAL CARE LLC
Entity type:Organization
Organization Name:HOUSTON CHRISTIAN PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-413-3115
Mailing Address - Street 1:14526 OLD KATY RD
Mailing Address - Street 2:STE 96
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1021
Mailing Address - Country:US
Mailing Address - Phone:832-413-3115
Mailing Address - Fax:
Practice Address - Street 1:14526 OLD KATY RD
Practice Address - Street 2:STE 96
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1021
Practice Address - Country:US
Practice Address - Phone:832-413-3115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health