MEDICARE: CENNA HOME HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747A0650X	Attendant Care Provider
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1174203459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENNA HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	6601 CUCULU DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5831
Country	:	US
Telephone Number	:	240-554-7672
Fax Number	:	240-554-7672

Provider Business Practice Location Address
First Line	:	6601 CUCULU DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5831
Country	:	US
Telephone Number	:	240-554-7672
Fax Number	:	240-554-7672

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE AGBOR
Credential	:	RN
Telephone Number	:	240-554-7672

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	07/20/2023

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Directions to “CENNA HOME HEALTH SERVICES INC ” Practice Location

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