MEDICARE: FAME HEALTH CARE SERVICES

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

General Provider Information

NPI Number	:	1194866285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAME HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	17014 QUAIL BEND DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-6158
Country	:	US
Telephone Number	:	832-971-5204
Fax Number	:

Provider Business Practice Location Address
First Line	:	17014 QUAIL BEND DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-6158
Country	:	US
Telephone Number	:	832-971-5204
Fax Number	:

Authorized Official
Title or Position	:	D.O.N
Name	:	MS. VICTORIA NNEOMA EMMANUEL
Credential	:	R.N
Telephone Number	:	832-971-5204

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	08/22/2020

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