# PRIVATE HOME HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184903874
- **Authorized official:** MS. CARLA JACKSON (CEO)
- **Authorized official phone:** (281) 253-4136

## Contact information

- **Practice address:** 4141 SOUTHWEST FWY \# 660, HOUSTON, TX 77027-7313
- **Practice address phone:** (713) 343-4340
- **Practice address fax:** (713) 343-4332
- **Mailing address:** 4141 SOUTHWEST FWY \# 660, HOUSTON, TX 77027-7313
- **Mailing address phone:** (713) 343-4340
- **Mailing address fax:** (713) 343-4332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | TX | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 07/21/2022