Provider Demographics
NPI:1548952401
Name:RESILIENT KIDS HOME HEALTH, LLC
Entity type:Organization
Organization Name:RESILIENT KIDS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVAN
Authorized Official - Middle Name:ROBERT REECE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-682-9156
Mailing Address - Street 1:5900 BALCONES DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:210-682-9156
Mailing Address - Fax:210-957-1119
Practice Address - Street 1:14115 KINGS MEADOW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1717
Practice Address - Country:US
Practice Address - Phone:210-682-9156
Practice Address - Fax:210-957-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health