MEDICARE: 365 HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1083856777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	365 HEALTH CARE

Provider Business Mailing Address
First Line	:	9511 PICKWELL CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1060
Country	:	US
Telephone Number	:	281-983-5669
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 PICKWELL CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1060
Country	:	US
Telephone Number	:	281-983-5669
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HABBIEB MOHAMMED
Credential	:
Telephone Number	:	281-983-5669

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	03/27/2009

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