MEDICARE: PROPEDIA HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WH0200X	Home Health Registered Nurse
2	251B00000X	Case Management Agency
3	251J00000X	Nursing Care Agency
4	253Z00000X	In Home Supportive Care Agency
5	3747P1801X	Personal Care Attendant
6	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558881391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROPEDIA HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	901 NEW MEISTER LN APT 524
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-5873
Country	:	US
Telephone Number	:	512-487-9635
Fax Number	:	512-551-4007

Provider Business Practice Location Address
First Line	:	901 NEW MEISTER LN APT 524
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-5873
Country	:	US
Telephone Number	:	512-487-9635
Fax Number	:	512-551-4007

Authorized Official
Title or Position	:	OWNER
Name	:	FELIX M NTAH
Credential	:
Telephone Number	:	512-487-9635

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	07/21/2022

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