MEDICARE: MAXCARE HOME HEALTH 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	251E00000X	Home Health Agency	008058	TX

General Provider Information

NPI Number	:	1346326022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXCARE HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	9119 S GESSNER RD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2845
Country	:	US
Telephone Number	:	713-325-2132
Fax Number	:	713-534-1164

Provider Business Practice Location Address
First Line	:	9119 S GESSNER RD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2845
Country	:	US
Telephone Number	:	713-325-2132
Fax Number	:	713-534-1164

Authorized Official
Title or Position	:	CFO/OWNER
Name	:	MR. FLORA UCHEA
Credential	:
Telephone Number	:	713-325-2132

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	12/31/2019

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