MEDICARE: CNA HEALTH CARE SERVICES 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	3140N1450X	Pediatric Skilled Nursing Facility

General Provider Information

NPI Number	:	1285919613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CNA HEALTH CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	9100 SW FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9100 SW FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	832-452-4293
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FELICIA N UWAJEH
Credential	:
Telephone Number	:	832-452-4293

Provider Enumeration Date	:	10/17/2011
Last Update Date	:	10/17/2011

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