Provider Demographics
NPI:1053408112
Name:AMERIPRO HEALTHCARE GROUP, LLC
Entity type:Organization
Organization Name:AMERIPRO HEALTHCARE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:REA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-376-0800
Mailing Address - Street 1:14511 FALLING CREEK DR STE 509
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1281
Mailing Address - Country:US
Mailing Address - Phone:281-376-0800
Mailing Address - Fax:281-884-6043
Practice Address - Street 1:14511 FALLING CREEK DR STE 509
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1281
Practice Address - Country:US
Practice Address - Phone:281-376-0800
Practice Address - Fax:281-884-6043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212082601Medicaid
TX747014Medicare PIN