MEDICARE: LABELLE HEALTH CARE SERVICES

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	:	1174032585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABELLE HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	13510 DARBY HOUSE CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-6842
Country	:	US
Telephone Number	:	281-844-4107
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 PROSPECT AVE
Second Line	:
City	:	PRAIRIE VIEW
State	:	TX
Zip	:	77445-7744
Country	:	US
Telephone Number	:	281-727-8054
Fax Number	:	281-727-8054

Authorized Official
Title or Position	:	PARTNER
Name	:	JEFFERY HODGES
Credential	:
Telephone Number	:	281-727-8054

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	09/28/2017

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