MEDICARE: TEXAS HOME HEALTH LIVING 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043850571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HOME HEALTH LIVING INC

Provider Business Mailing Address
First Line	:	2255 BRAESWOOD PARK DR APT 301
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4435
Country	:	US
Telephone Number	:	832-798-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 BRAESWOOD PARK DR APT 301
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4435
Country	:	US
Telephone Number	:	832-798-8722
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGEL DELGADO
Credential	:
Telephone Number	:	832-798-8722

Provider Enumeration Date	:	01/13/2020
Last Update Date	:	01/13/2020

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