21Stcentury Homecare Services

LBN: 21Stcentury Homecare Services
21Stcentury Homecare Services is an health care organization with primary practice located at 6710 Lindale Manor Ct , Spring TX 77379-8931. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. 21Stcentury Homecare Services can be contacted via phone (832) 656-4391, or through Johnson, Kenneth Ray via phone (832) 656-4391.

Contact Information

Primary practice address
6710 Lindale Manor Ct Spring TX 77379-8931
Phone: (832) 656-4391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kenneth Ray
Phone: (832) 656-4391

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1861811218
LBN Legal business name 21Stcentury Homecare Services
DBA Doing business as
Authorized official Johnson, Kenneth Ray
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2014
Last updated Apr 14th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861811218 NPPES
Texas MEDICAID 103T00000X

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