MEDICARE: MIH SENIORS HOME CARE, LLC

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	:	1043981897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIH SENIORS HOME CARE, LLC

Provider Business Mailing Address
First Line	:	1104 S MAYS ST STE 113
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6700
Country	:	US
Telephone Number	:	512-409-9855
Fax Number	:	512-649-4003

Provider Business Practice Location Address
First Line	:	1104 S MAYS ST STE 113
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6700
Country	:	US
Telephone Number	:	512-409-9855
Fax Number	:	512-649-4003

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KARINA P FRANCO RODRIGUEZ
Credential	:
Telephone Number	:	512-409-9855

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	07/24/2024

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