MEDICARE: BED OF ROSES HOME HEALTH 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	310400000X	Assisted Living Facility
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1235479650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BED OF ROSES HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 240
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77497-0240
Country	:	US
Telephone Number	:	281-606-5597
Fax Number	:	281-606-5597

Provider Business Practice Location Address
First Line	:	8330 LEAMONT DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-4218
Country	:	US
Telephone Number	:	832-449-6704
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HERMANN WEST
Credential	:
Telephone Number	:	713-418-0025

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	03/28/2018

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