Provider Demographics
NPI:1538589338
Name:MOELLER HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:MOELLER HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-528-3030
Mailing Address - Street 1:9900 WESTPARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5278
Mailing Address - Country:US
Mailing Address - Phone:713-528-3030
Mailing Address - Fax:713-528-0442
Practice Address - Street 1:1716 BRIARCREST DR
Practice Address - Street 2:STE 300 PMB 121
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2777
Practice Address - Country:US
Practice Address - Phone:979-691-7390
Practice Address - Fax:979-217-8779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health