MEDICARE: ONSITE CARE SOLUTIONS, LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114267804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONSITE CARE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	12410 CAREN CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3503
Country	:	US
Telephone Number	:	713-501-2335
Fax Number	:	281-715-2844

Provider Business Practice Location Address
First Line	:	12410 CAREN CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3503
Country	:	US
Telephone Number	:	713-501-2335
Fax Number	:	281-715-2844

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KARAN RUTHERFORD DJORDJEVIC
Credential	:
Telephone Number	:	713-501-2335

Provider Enumeration Date	:	02/18/2013
Last Update Date	:	02/18/2013

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