MEDICARE: L.I.N.S INC

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	008913	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	008913	OTHER	TX	MEDICARE LICENSE NUMBER

General Provider Information

NPI Number	:	1285056226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L.I.N.S INC

Provider Business Mailing Address
First Line	:	6023 COVENTRY FLS
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-6390
Country	:	US
Telephone Number	:	281-550-0053
Fax Number	:	281-550-3150

Provider Business Practice Location Address
First Line	:	6023 COVENTRY FLS
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-6390
Country	:	US
Telephone Number	:	281-550-0053
Fax Number	:	281-550-3150

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS DELOIS WILSON
Credential	:	RN
Telephone Number	:	281-550-0053

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	01/10/2014

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