MEDICARE: MIDAG CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	251J00000X	Nursing Care Agency
3	374U00000X	Home Health Aide
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1699572735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDAG CARE LLC

Provider Business Mailing Address
First Line	:	18603 GREENWOOD MEADOW TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4605
Country	:	US
Telephone Number	:	832-310-5989
Fax Number	:	281-781-9159

Provider Business Practice Location Address
First Line	:	18603 GREENWOOD MEADOW TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4605
Country	:	US
Telephone Number	:	832-310-5989
Fax Number	:	281-781-9159

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GEORGE AJOKU
Credential	:
Telephone Number	:	832-310-5989

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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Directions to “MIDAG CARE LLC ” Practice Location

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