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NPI Code Detail

MEDICARE: HOMECARE VITAL SOLUTIONS LLC

MEDICARE: HOMECARE VITAL SOLUTIONS 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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1013706514
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECARE VITAL SOLUTIONS LLC
Provider Business Mailing Address
First Line : 10815 BEECHNUT ST STE 128
Second Line :
City : HOUSTON
State : TX
Zip : 77072-4491
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10815 BEECHNUT ST STE 128
Second Line :
City : HOUSTON
State : TX
Zip : 77072-4491
Country : US
Telephone Number : 346-370-8432
Fax Number :
Authorized Official
Title or Position : OWNER, PRESIDENT
Name : EDUARDO GABRIEL TELLEZ VELAZQUEZ
Credential :
Telephone Number : 346-370-8432
Provider Enumeration Date : 05/02/2025
Last Update Date : 02/17/2026

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Directions to “HOMECARE VITAL SOLUTIONS LLC ” Practice Location

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