MEDICARE: SIEDZECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	3747P1801X	Personal Care Attendant
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker
5	253Z00000X	In Home Supportive Care Agency
6	261QH0700X	Hearing and Speech Clinic/Center
7	372600000X	Adult Companion
8	251E00000X	Home Health Agency

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	:	1033726641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIEDZECARE LLC

Provider Business Mailing Address
First Line	:	16903 RED OAK DR STE 130P
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3965
Country	:	US
Telephone Number	:	832-666-2783
Fax Number	:

Provider Business Practice Location Address
First Line	:	16903 RED OAK DR STE 130P
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3965
Country	:	US
Telephone Number	:	832-666-2783
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FABRICE NDE
Credential	:
Telephone Number	:	832-666-2783

Provider Enumeration Date	:	09/28/2020
Last Update Date	:	08/19/2024

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Directions to “SIEDZECARE LLC ” Practice Location

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