MEDICARE: COTTAGE HOME CARE

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1053425785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTTAGE HOME CARE

Provider Business Mailing Address
First Line	:	2731 FLINTROCK CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77067-1943
Country	:	US
Telephone Number	:	281-893-3533
Fax Number	:	281-893-3888

Provider Business Practice Location Address
First Line	:	2731 FLINTROCK CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77067-1943
Country	:	US
Telephone Number	:	281-893-3533
Fax Number	:	281-893-3888

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NORMA JEAN HARRISON
Credential	:
Telephone Number	:	281-893-3533

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	12/26/2007

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Directions to “COTTAGE HOME CARE ” Practice Location

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