# MEDPSYCH HOME HEALTHCARE CORPORATION

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

## Provider details

- **NPI number:** 1699968842
- **Authorized official:** MRS. ESTHER M JACKSON (CEO)
- **Authorized official phone:** (281) 693-6700

## Contact information

- **Practice address:** 11999 KATY FREEWAY SUITE 225, HOUSTON, TX 77079
- **Practice address phone:** (281) 693-6700
- **Practice address fax:** (281) 693-6784
- **Mailing address:** 24702 PLYMPTON DR, KATY, TX 77494-6131
- **Mailing address phone:** (281) 693-6700
- **Mailing address fax:** (281) 693-6784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 011330 | TX | — |
| 251E00000X | Home Health Agency | 011330 | TX | Yes |
| 283Q00000X | Psychiatric Hospital | — | NULL | — |
| 3747A0650X | Attendant Care Provider | 011330 | TX | — |
| 374U00000X | Home Health Aide | 011330 | TX | — |
| 376G00000X | Nursing Home Administrator | 011330 | TX | — |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 10/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011330 | DADS | TX |
| 05 | — | 194394601 | — | TX |