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NPI Code Detail

MEDICARE: GREAT HOME HEALTH SERVICES

MEDICARE: GREAT 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
1315P00000XIntellectual Disabilities Intermediate Care Facility45G970TX

General Provider Information

NPI Number : 1396948543
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 237
Second Line :
City : ALIEF
State : TX
Zip : 77411-0237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12810 WESTBRANCH CT
Second Line :
City : HOUSTON
State : TX
Zip : 77072-2134
Country : US
Telephone Number : 281-568-3532
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. RODOLFO VELASCO
Credential :
Telephone Number : 281-568-3532
Provider Enumeration Date : 06/06/2007
Last Update Date : 08/22/2020

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Directions to “GREAT HOME HEALTH SERVICES ” Practice Location

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