MEDICARE: HOMECARE ANGELS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1194435412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE ANGELS LLC

Provider Business Mailing Address
First Line	:	26615 OAK RIDGE DR STE 114
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-1968
Country	:	US
Telephone Number	:	832-299-4297
Fax Number	:	832-442-9991

Provider Business Practice Location Address
First Line	:	26615 OAK RIDGE DR STE 114
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-1968
Country	:	US
Telephone Number	:	832-299-4297
Fax Number	:	832-442-9991

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSIE WINETROUT
Credential	:	RN
Telephone Number	:	832-299-4297

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/28/2022

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