MEDICARE: HONOR CARE HOME HEALTH 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	011284	TX

General Provider Information

NPI Number	:	1053439828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONOR CARE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	3737 BROADWAY ST STE 280
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-6559
Country	:	US
Telephone Number	:	210-826-2405
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 BROADWAY ST STE 280
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-6559
Country	:	US
Telephone Number	:	210-826-2405
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. GLORIA DENISE BURNS
Credential	:	RN
Telephone Number	:	210-826-2405

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	04/10/2009

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