MEDICARE: TAYLOR HOME CARE SOLUTIONS

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1710359419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLOR HOME CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	1516 BAY AREA BLVD APT U12
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2155
Country	:	US
Telephone Number	:	281-954-6640
Fax Number	:	281-954-6369

Provider Business Practice Location Address
First Line	:	1516 BAY AREA BLVD APT U12
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2155
Country	:	US
Telephone Number	:	281-954-6640
Fax Number	:	281-954-6369

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	NICHOLE JOHNSON-LITTLE
Credential	:
Telephone Number	:	832-629-1664

Provider Enumeration Date	:	10/21/2015
Last Update Date	:	10/21/2015

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Directions to “TAYLOR HOME CARE SOLUTIONS ” Practice Location

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