MEDICARE: BASE OF SOLID HOME CARE

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	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1598593790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASE OF SOLID HOME CARE

Provider Business Mailing Address
First Line	:	8544 W BELLFORT AVE # PMB136
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2208
Country	:	US
Telephone Number	:	713-679-0612
Fax Number	:

Provider Business Practice Location Address
First Line	:	7828 W BELLFORT AVE UNIT 21
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2148
Country	:	US
Telephone Number	:	713-679-0612
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	CELESTINA E AGWUOKE
Credential	:
Telephone Number	:	713-679-0612

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	07/22/2024

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Directions to “BASE OF SOLID HOME CARE ” Practice Location

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