MEDICARE: LIVELONG HEALTH CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558550400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVELONG HEALTH CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	9301 SOUTHWEST FWY STE 250T
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1510
Country	:	US
Telephone Number	:	713-485-6952
Fax Number	:	713-485-0228

Provider Business Practice Location Address
First Line	:	9301 SOUTHWEST FWY STE 250T
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1510
Country	:	US
Telephone Number	:	713-485-6952
Fax Number	:	713-485-0228

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DORIS OBAZE
Credential	:
Telephone Number	:	713-205-7328

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	12/03/2025

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