MEDICARE: AMERICAN EVERCARE HOME HEALTH, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871826222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN EVERCARE HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	2323 S VOSS RD STE 203B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3809
Country	:	US
Telephone Number	:	800-588-1656
Fax Number	:	888-391-5789

Provider Business Practice Location Address
First Line	:	2323 S VOSS RD STE 203B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3809
Country	:	US
Telephone Number	:	800-588-1656
Fax Number	:	888-391-5789

Authorized Official
Title or Position	:	PRESIDENT/ REGISTERED AGENT
Name	:	MR. HAZEM ABDULMAJID
Credential	:	RN
Telephone Number	:	832-606-1955

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	06/07/2013

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