MEDICARE: MOTHER EARTH HEALTHCARE SERVICES 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		TX

General Provider Information

NPI Number	:	1033609292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER EARTH HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	9821 SUMMERWOOD CIR APT 1701
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7752
Country	:	US
Telephone Number	:	469-349-9828
Fax Number	:	833-817-7159

Provider Business Practice Location Address
First Line	:	128 CREEK PLUM DR
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-8273
Country	:	US
Telephone Number	:	469-349-9828
Fax Number	:	833-817-7159

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RENE ANDOH
Credential	:
Telephone Number	:	469-349-9828

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	02/07/2025

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Directions to “MOTHER EARTH HEALTHCARE SERVICES INC ” Practice Location

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