=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972785343
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAMEO HOME HEALTH CARE LP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2007
-----------------------------------------------------
Last Update Date | 01/10/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7026 OLD KATY ROAD SUITE 305
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-682-7272
-----------------------------------------------------
Fax | 713-681-8665
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7026 OLD KATY ROAD SUITE 305
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-682-7272
-----------------------------------------------------
Fax | 713-681-8665
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR/ADMINISTRATOR
-----------------------------------------------------
Name | MRS. DEBORAH C. FLOYD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-682-7272
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 008941
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------