MEDICARE: CONVERGE HEALTHCARE 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	:	1679802615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONVERGE HEALTHCARE INC

Provider Business Mailing Address
First Line	:	8315 SIERRA HILL CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5147
Country	:	US
Telephone Number	:	832-724-6862
Fax Number	:	281-565-0359

Provider Business Practice Location Address
First Line	:	8315 SIERRA HILL CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5147
Country	:	US
Telephone Number	:	832-724-6862
Fax Number	:	281-565-0359

Authorized Official
Title or Position	:	ADMINISTRAOR
Name	:	MRS. BERNADINE NJOKU
Credential	:	RN
Telephone Number	:	832-724-6862

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	12/22/2009

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Directions to “CONVERGE HEALTHCARE INC ” Practice Location

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