Provider Demographics
NPI:1053425785
Name:COTTAGE HOME CARE
Entity type:Organization
Organization Name:COTTAGE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-893-3533
Mailing Address - Street 1:2731 FLINTROCK CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1943
Mailing Address - Country:US
Mailing Address - Phone:281-893-3533
Mailing Address - Fax:281-893-3888
Practice Address - Street 1:2731 FLINTROCK CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1943
Practice Address - Country:US
Practice Address - Phone:281-893-3533
Practice Address - Fax:281-893-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility