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NPI Code Detail

MEDICARE: SUN MOON INTEGRATIVE CARE LLC

MEDICARE: SUN MOON INTEGRATIVE CARE LLC
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
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1437099942
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUN MOON INTEGRATIVE CARE LLC
Provider Business Mailing Address
First Line : 5226 POMANDER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77021-3148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5226 POMANDER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77021-3148
Country : US
Telephone Number : 956-589-5026
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VANESSA DIGIACOMO-TREVINO
Credential :
Telephone Number : 956-589-5026
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “SUN MOON INTEGRATIVE CARE LLC ” Practice Location

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