MEDICARE: OMNICURE HOME HEALTH

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	009121	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	673190	OTHER		MEDICARE PROV ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023011772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMNICURE HOME HEALTH

Provider Business Mailing Address
First Line	:	3814 TIMBERLAKE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-7727
Country	:	US
Telephone Number	:	972-881-4374
Fax Number	:	972-516-4952

Provider Business Practice Location Address
First Line	:	3814 TIMBERLAKE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-7727
Country	:	US
Telephone Number	:	972-881-4374
Fax Number	:	972-516-4952

Authorized Official
Title or Position	:	OWNER
Name	:	MUNZER HAQUE
Credential	:
Telephone Number	:	972-971-5593

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	12/01/2017

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Directions to “OMNICURE HOME HEALTH ” Practice Location

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