Memorial Hermann Home-Based Services, L.L.C.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MEMORIAL HERMANN HOME-BASED SERVICES, L.L.C.

Practice address

18951 N Memorial Dr
Humble, TX 77338-4217

Phone

(225) 292-2031

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Travis Miglicco

Title

VP Tax

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1265129761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "225-292-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HOME-BASED SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "MIGLICCO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "VP TAX",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Hermann Health System (Memorial Hermann Northeast)
• Memorial Hermann Health System (Memorial Hermann Imaging Centers-Humble Center)
• Memorial Hermann Health System (Memorial Hermann Northeast Hospital ASC)
• Memorial Hermann Health System (Memorial Hermann Pharmacy - Northeast)
• Memorial Hermann Health System (Memorial Hermann Imaging Centers-Humble Center RR)
• Memorial Spine Association, LLC
• Memorial Urgent Clinic, PLLC
• Autumn Alexandria Menard, SLP-CF
• Menard's Tranportation
• Marissa Guadalupe Mendoza Maldonado, LMSW

• Case Management Agency in Humble, TX
• Providers in Humble, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.