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NPI Code Detail

MEDICARE: HOME CARE OF FIDELITY

MEDICARE: HOME CARE OF FIDELITY
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
1332B00000XDurable Medical Equipment & Medical SuppliesTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710960059
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE OF FIDELITY
Provider Business Mailing Address
First Line : 22815 PARKWALK LN
Second Line :
City : KATY
State : TX
Zip : 77494-4451
Country : US
Telephone Number : 713-365-9121
Fax Number : 713-365-9120
Provider Business Practice Location Address
First Line : 4615 SOUTHWEST FWY
Second Line : STE 479
City : HOUSTON
State : TX
Zip : 77027-7108
Country : US
Telephone Number : 713-365-9121
Fax Number : 713-365-9120
Authorized Official
Title or Position : OWNER
Name : MR. AVERY ERIC OBLEPIAS
Credential :
Telephone Number : 713-365-9121
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/21/2022

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Directions to “HOME CARE OF FIDELITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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