MEDICARE: CONSERVE HEALTHCARE SERVICES 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

General Provider Information

NPI Number	:	1053642496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSERVE HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	12439 SILVERSMINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-2440
Country	:	US
Telephone Number	:	832-746-6455
Fax Number	:	866-470-3118

Provider Business Practice Location Address
First Line	:	12439 SILVERSMINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-2440
Country	:	US
Telephone Number	:	832-746-6455
Fax Number	:	866-470-3118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CINDY A UGBAJA
Credential	:
Telephone Number	:	832-746-6455

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	01/25/2010

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