MEDICARE: AR HOMEHEALTH 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	251E00000X	Home Health Agency	011005	TX

General Provider Information

NPI Number	:	1063509289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AR HOMEHEALTH LLC

Provider Business Mailing Address
First Line	:	2200 NORTH LOOP W STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-1753
Country	:	US
Telephone Number	:	713-290-9554
Fax Number	:	713-290-9550

Provider Business Practice Location Address
First Line	:	2200 NORTH LOOP W STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-1753
Country	:	US
Telephone Number	:	713-290-9554
Fax Number	:	713-290-9550

Authorized Official
Title or Position	:	OWNER
Name	:	MARIO RODRIGUEZ
Credential	:
Telephone Number	:	713-691-6777

Provider Enumeration Date	:	10/08/2006
Last Update Date	:	07/01/2011

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