MEDICARE: CHARLES S. RAMON, 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
1	251E00000X	Home Health Agency	007638	TX

General Provider Information

NPI Number	:	1528157187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES S. RAMON, LLC.

Provider Business Mailing Address
First Line	:	2301 SAN FERNANDO ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-5229
Country	:	US
Telephone Number	:	210-436-7827
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 SAN FERNANDO ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-5229
Country	:	US
Telephone Number	:	210-436-7827
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES S. RAMON
Credential	:
Telephone Number	:	210-436-7827

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	06/10/2008

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