Provider Demographics
NPI:1730451360
Name:1ST TEXAS HOME HEALTH CARE PROVIDER
Entity type:Organization
Organization Name:1ST TEXAS HOME HEALTH CARE PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-525-4957
Mailing Address - Street 1:2930 CREEKWAY CIR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2131
Mailing Address - Country:US
Mailing Address - Phone:832-525-4957
Mailing Address - Fax:
Practice Address - Street 1:14165 BISSONNET ST STE P
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6333
Practice Address - Country:US
Practice Address - Phone:281-879-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No253J00000XAgenciesFoster Care Agency