MEDICARE: TRICARE HOME HEALTH 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	004624	TX

General Provider Information

NPI Number	:	1659465623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRICARE HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	7272 WURZBACH RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4802
Country	:	US
Telephone Number	:	210-342-7777
Fax Number	:	210-342-5030

Provider Business Practice Location Address
First Line	:	7272 WURZBACH RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4802
Country	:	US
Telephone Number	:	210-342-7777
Fax Number	:	210-342-5030

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. OKEY OKOYE
Credential	:
Telephone Number	:	210-342-7777

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/11/2024

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