MEDICARE: NIXON HOME CARE, 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	261QA0600X	Adult Day Care Clinic/Center	118562	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1023164480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIXON HOME CARE, INC.

Provider Business Mailing Address
First Line	:	3719 LYNNFIELD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-6727
Country	:	US
Telephone Number	:	713-633-4700
Fax Number	:	713-633-6964

Provider Business Practice Location Address
First Line	:	3719 LYNNFIELD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-6727
Country	:	US
Telephone Number	:	713-633-4700
Fax Number	:	713-633-6964

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICE
Name	:	MS. DEBORA ANN NIXON
Credential	:
Telephone Number	:	713-633-4700

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/22/2020

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