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Organization
XCILITY PEDIATRIC HOME HEALTHCARE INC
Active
Organization
XCILITY PEDIATRIC HOME HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE MOMBEFOR RN (ADMINISTRATOR)
(713) 999-9131
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST STE 452, HOUSTON, TX 77036-8156
(713) 999-9131
(713) 999-9131
Mailing address
9896 BISSONNET ST STE 452, HOUSTON, TX 77036-8156
(713) 999-9131
(713) 999-9131
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404052902
—
TX
Enumeration date
02/06/2019
Last updated
02/08/2024
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