MEDICARE: MESSIAH CARE 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1164398004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MESSIAH CARE LLC

Provider Business Mailing Address
First Line	:	3427 PALM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-6328
Country	:	US
Telephone Number	:	346-739-1106
Fax Number	:

Provider Business Practice Location Address
First Line	:	3427 PALM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-6328
Country	:	US
Telephone Number	:	346-739-1106
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RANTRESE SMITH
Credential	:
Telephone Number	:	346-739-1106

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	10/16/2025

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Directions to “MESSIAH CARE LLC ” Practice Location

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