Provider Demographics
NPI:1053935619
Name:DAVIS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:DAVIS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-901-8189
Mailing Address - Street 1:1830 HILTON HEAD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3424
Mailing Address - Country:US
Mailing Address - Phone:346-901-8189
Mailing Address - Fax:281-519-7244
Practice Address - Street 1:1830 HILTON HEAD DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3424
Practice Address - Country:US
Practice Address - Phone:346-901-8189
Practice Address - Fax:281-519-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care