MEDICARE: A GOOD 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	007282	TX

General Provider Information

NPI Number	:	1932107232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A GOOD HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	4814 WEST AVE STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-2707
Country	:	US
Telephone Number	:	210-737-6690
Fax Number	:

Provider Business Practice Location Address
First Line	:	4814 WEST AVE STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-2707
Country	:	US
Telephone Number	:	210-737-6690
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. SHANE ALLEN COKER
Credential	:
Telephone Number	:	210-737-6690

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	10/28/2008

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