MEDICARE: HOMECARE DIMENSIONS, 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

General Provider Information

NPI Number	:	1407952740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE DIMENSIONS, INC.

Provider Business Mailing Address
First Line	:	4424 CROSSTOWN EXPY
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-5303
Country	:	US
Telephone Number	:	210-696-2626
Fax Number	:	210-696-9987

Provider Business Practice Location Address
First Line	:	19500 IH-10W
Second Line	:	BLDG. 2, #2-3103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:	210-696-2626
Fax Number	:	210-696-9987

Authorized Official
Title or Position	:	SECRETARY/ASST. TREASURER
Name	:	MR. JOSEPH ZIMMERMAN
Credential	:
Telephone Number	:	210-617-4741

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	02/22/2024

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