MEDICARE: AMRITHRSWARI, INC.

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	010514	TX

General Provider Information

NPI Number	:	1083659973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMRITHRSWARI, INC.

Provider Business Mailing Address
First Line	:	4230 LBJ FWY STE 129
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5815
Country	:	US
Telephone Number	:	214-382-3883
Fax Number	:	972-242-6925

Provider Business Practice Location Address
First Line	:	4230 LBJ FWY STE 129
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5815
Country	:	US
Telephone Number	:	214-382-3383
Fax Number	:	972-242-6925

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LEELA S NAMPUTHIRI I
Credential	:	MA
Telephone Number	:	214-383-3883

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	12/08/2010

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