MEDICARE: CONTINUUM HOUSTON HOME HEALTH, 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	10300	TX

General Provider Information

NPI Number	:	1629008354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUUM HOUSTON HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	6671 SOUTHWEST FWY
Second Line	:	SUITE #220
City	:	HOUSTON
State	:	TX
Zip	:	77074-2212
Country	:	US
Telephone Number	:	713-290-0021
Fax Number	:	713-290-0468

Provider Business Practice Location Address
First Line	:	6671 SOUTHWEST FWY
Second Line	:	SUITE #220
City	:	HOUSTON
State	:	TX
Zip	:	77074-2212
Country	:	US
Telephone Number	:	713-290-0021
Fax Number	:	713-290-0468

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JANICE M WALSTON
Credential	:	MSN
Telephone Number	:	713-290-0021

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/22/2020

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