MEDICARE: BELOVED HOME HEALTH SERVICES,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
2	302F00000X	Exclusive Provider Organization	006711	TX

General Provider Information

NPI Number	:	1982653119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELOVED HOME HEALTH SERVICES,INC

Provider Business Mailing Address
First Line	:	9888 BISSONNET ST STE 430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8249
Country	:	US
Telephone Number	:	713-825-7491
Fax Number	:	713-776-9382

Provider Business Practice Location Address
First Line	:	9888 BISSONNET ST
Second Line	:	#430
City	:	HOUSTON
State	:	TX
Zip	:	77036-8247
Country	:	US
Telephone Number	:	713-776-9333
Fax Number	:	713-776-9382

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. AGATHA OGECHI DURU
Credential	:	RN
Telephone Number	:	713-825-7491

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	03/10/2023

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