Interim Healthcare Houston Southeast

LBN: Agespace Care, Llc
Interim Healthcare Houston Southeast is an health care organization with primary practice located at 11550 Fuqua St Suite 360, Houston TX 77034-4306. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. Agespace Care, Llc can be contacted via phone (832) 404-2006, or through Bloomer, Dawn via phone (832) 798-6166.

Contact Information

Primary practice address
11550 Fuqua St Suite 360 Houston TX 77034-4306
Fax: (832) 404-2336
Website:
Authorized official contact:
Name: Bloomer, Dawn Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1609332543
LBN Legal business name Agespace Care, Llc
DBA Doing business as Interim Healthcare Houston Southeast
Authorized official Bloomer, Dawn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2019
Last updated Jan 17th, 2023 - about last year

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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