# BABYBOOMERS HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lone Star Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134411366
- **Authorized official:** MR. MOHAMMAD A SUBEDAR (ADMINISTRATOR)
- **Authorized official phone:** (713) 876-3872

## Contact information

- **Practice address:** 630 COLONY LAKE ESTATES DR APT 428, STAFFORD, TX 77477-4667
- **Practice address phone:** (713) 876-3872
- **Mailing address:** 1711 JAMES BOWIE DR APT 504, BAYTOWN, TX 77520-3309
- **Mailing address phone:** (713) 876-3872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2011
- **Last updated:** 05/05/2011