MEDICARE: AMERICA'S HEART, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	253Z00000X	In Home Supportive Care Agency
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1114509528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA'S HEART, INC

Provider Business Mailing Address
First Line	:	14741 PEBBLE BEND DR STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2927
Country	:	US
Telephone Number	:	281-809-4064
Fax Number	:	281-741-5849

Provider Business Practice Location Address
First Line	:	14741 PEBBLE BEND DR STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2927
Country	:	US
Telephone Number	:	281-809-4064
Fax Number	:	281-741-5849

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	UNEEDA TALLEY
Credential	:
Telephone Number	:	281-809-4064

Provider Enumeration Date	:	04/25/2021
Last Update Date	:	04/25/2021

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