MEDICARE: FOUNDATION CAREPLUS GROUP, INC

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	251G00000X	Community Based Hospice Care Agency	010227	TX
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

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	:	1780627158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATION CAREPLUS GROUP, INC

Provider Business Mailing Address
First Line	:	12051 SLEEPY HOLLOW ROAD
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77385
Country	:	US
Telephone Number	:	281-607-2310
Fax Number	:	281-607-2314

Provider Business Practice Location Address
First Line	:	12051 SLEEPY HOLLOW ROAD
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77385
Country	:	US
Telephone Number	:	281-607-2310
Fax Number	:	281-607-2314

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KASSANDRA LYNN SCOTT
Credential	:
Telephone Number	:	281-607-2310

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/25/2024

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