Organization
AGING GRACE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONDRION IVORY POWELL (CEO)
(281) 749-1563
Entity
Organization
Contact information
Practice address
15418 STREETCAR CT, CYPRESS, TX 77429-8510
(281) 749-1563
Mailing address
15418 STREETCAR CT, CYPRESS, TX 77429-8510
(281) 749-1563
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/18/2024
Last updated
06/12/2025
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