# COMMUNITY CARE COOPERATIVE

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

## Provider details

- **NPI number:** 1548851397
- **Authorized official:** TANISHA HOLMAN (ADMINISTRATOR)
- **Authorized official phone:** (281) 972-7565

## Contact information

- **Practice address:** 2501 HOLMAN ST, HOUSTON, TX 77004-4247
- **Practice address phone:** (281) 972-7565
- **Practice address fax:** (281) 972-7565
- **Mailing address:** 2501 HOLMAN ST, HOUSTON, TX 77004-4247
- **Mailing address phone:** (281) 972-7565
- **Mailing address fax:** (281) 972-7565

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 11/21/2024