MEDICARE: MODERN HOMECARE, 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

General Provider Information

NPI Number	:	1144786310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN HOMECARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 940691
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-7691
Country	:	US
Telephone Number	:	281-501-0350
Fax Number	:	888-891-6316

Provider Business Practice Location Address
First Line	:	9800 RICHMOND AVE STE 427
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-4524
Country	:	US
Telephone Number	:	281-501-0350
Fax Number	:	888-891-6316

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EDRICK BAHAM
Credential	:
Telephone Number	:	713-244-8397

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	01/28/2026

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Directions to “MODERN HOMECARE, LLC ” Practice Location

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