MEDICARE: TARGET MULTI SERVICE 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	374U00000X	Home Health Aide
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164394789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARGET MULTI SERVICE LLC

Provider Business Mailing Address
First Line	:	2311 FOUNTAIN VIEW DR APT 26
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-4607
Country	:	US
Telephone Number	:	832-414-0788
Fax Number	:	210-570-3708

Provider Business Practice Location Address
First Line	:	2311 FOUNTAIN VIEW DR APT 26
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-4607
Country	:	US
Telephone Number	:	832-414-0788
Fax Number	:	210-570-3708

Authorized Official
Title or Position	:	OWNER
Name	:	ESHRAGA M MOHAMEDOSMAN
Credential	:
Telephone Number	:	832-486-0949

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	06/11/2026

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Directions to “TARGET MULTI SERVICE LLC ” Practice Location

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