MEDICARE: SPIRIT HOME HEALTH, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023267150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIRIT HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	3426 KNOTTY OAKS TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4522
Country	:	US
Telephone Number	:	713-208-7931
Fax Number	:	713-433-0787

Provider Business Practice Location Address
First Line	:	3426 KNOTTY OAKS TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4522
Country	:	US
Telephone Number	:	713-208-7931
Fax Number	:	713-433-0787

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. SARAH PARSON
Credential	:
Telephone Number	:	713-208-7931

Provider Enumeration Date	:	09/12/2008
Last Update Date	:	09/12/2008

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