Organization · NPI-2

Bluebonnet Lifecare, LLC

Home Health · Spring, TX

NPI number1932876018
StatusActive
Last updated in NPPESAug 17, 2022

Details

NPI
1932876018
Entity type
Organization (NPI-2)
Legal business name
Bluebonnet Lifecare, LLC
Organization subpart
No
Enumeration date
Aug 25, 2021
Certification date
Jan 18, 2022
Last updated
Aug 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
3747P1801X Technician, Personal Care Attendant––
251C00000X Day Training, Developmentally Disabled Services––
251J00000X Nursing Care––
253Z00000X In Home Supportive Care––

Practice location

4015 Ashland Woods Dr
Spring, TX 77386-4381

Phone 832-433-0465

Mailing address

4015 Ashland Woods Dr
Spring, TX 77386-4381

Phone 832-433-0465

Authorized official

Emem Ephraim Udoh
Administrator/Managing Member
8324330465

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