MEDICARE: ATWELL 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	251G00000X	Community Based Hospice Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1497063721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATWELL HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	6915 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6003
Country	:	US
Telephone Number	:	713-664-7800
Fax Number	:	713-664-7811

Provider Business Practice Location Address
First Line	:	6915 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6003
Country	:	US
Telephone Number	:	713-664-7800
Fax Number	:	713-664-7811

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KESHAWN CONLEY
Credential	:	REGISTERED NURSE
Telephone Number	:	346-541-0887

Provider Enumeration Date	:	09/21/2010
Last Update Date	:	07/15/2024

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