MEDICARE: HOME HEALTH PLUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043763725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH PLUS

Provider Business Mailing Address
First Line	:	424 SHEFFIELD DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-5540
Country	:	US
Telephone Number	:	847-454-5466
Fax Number	:

Provider Business Practice Location Address
First Line	:	2643 S LANCASTER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-3112
Country	:	US
Telephone Number	:	847-454-5466
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KIBROM BELAI
Credential	:
Telephone Number	:	847-454-5466

Provider Enumeration Date	:	07/28/2016
Last Update Date	:	07/28/2016

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Directions to “HOME HEALTH PLUS ” Practice Location

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