Healthcare Provider Details

I. General information

NPI: 1013706514
Provider Name (Legal Business Name): HOMECARE VITAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10815 BEECHNUT ST STE 128
HOUSTON TX
77072-4491
US

IV. Provider business mailing address

10815 BEECHNUT ST STE 128
HOUSTON TX
77072-4491
US

V. Phone/Fax

Practice location:
  • Phone: 346-370-8432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EDUARDO GABRIEL TELLEZ VELAZQUEZ
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 346-370-8432