NPI 1861811218

21stcentury Homecare Services

Organisation Preferred Provider Organization Spring, TX

Practice location

Address: 6710 Lindale Manor CT, Spring, TX 77379-8931
Phone: (832) 656-4391
Mailing address: 440 Benmar Dr 3053, Houston, TX 77060-3165

Authorised official

Name: Kenneth Ray Johnson
Title: Ceo
Phone: (832) 656-4391

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1861811218
Entity type: Organization
NPI issued: 14 Apr 2014
Record last updated: 14 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.