Life Source Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014037 Issued in TX

Legal business name

LIFE SOURCE HOME HEALTHCARE, INC.

Practice address

3302 Garth Rd
Baytown, TX 77521-3808

Phone

(281) 420-3977

Fax

(281) 420-1112

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Rowena Martir

Title

President

Phone

(832) 597-4461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1326348772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213808",
            "telephone_number": "281-420-3977",
            "fax_number": "281-420-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213808",
            "telephone_number": "281-420-3977",
            "fax_number": "281-420-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MARTIR",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-597-4461"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyacynthia M. Leonce-James, PSY.D., LPC, LMHC
• Kathrin Levy, REGISTERED NURSE
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• Stacy Lindsey, PHARM.D.

• Home Health Agency in Baytown, TX
• Providers in Baytown, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.