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
1	332B00000X	Durable Medical Equipment & Medical Supplies		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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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