MEDICARE: IMPREGNABLE HEALTHCARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1932999505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPREGNABLE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	15500 VOSS RD STE 563
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5022 LACEBARK PINE TRL
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77471-1958
Country	:	US
Telephone Number	:	973-282-6282
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLUFEMI ABIODUN AGBELUSI
Credential	:
Telephone Number	:	973-282-6282

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/12/2025

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Directions to “IMPREGNABLE HEALTHCARE LLC ” Practice Location

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