MEDICARE: DEDICATED HEALTHCARE INCORPORATED

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

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	:	1720590755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEDICATED HEALTHCARE INCORPORATED

Provider Business Mailing Address
First Line	:	9898 BISSONNET ST STE 665
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8256
Country	:	US
Telephone Number	:	832-350-2573
Fax Number	:	713-497-1584

Provider Business Practice Location Address
First Line	:	9898 BISSONNET ST STE 665
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8256
Country	:	US
Telephone Number	:	832-350-2573
Fax Number	:	713-497-1584

Authorized Official
Title or Position	:	CEO
Name	:	ALIMA HARDING
Credential	:
Telephone Number	:	832-350-2573

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	01/05/2026

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