MEDICARE: INCITE HEALTH, 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1194966804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INCITE HEALTH, LLC

Provider Business Mailing Address
First Line	:	2260 W HOLCOMBE BLVD
Second Line	:	STE 419
City	:	HOUSTON
State	:	TX
Zip	:	77030-2008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16619 GLAMIS LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2723
Country	:	US
Telephone Number	:	832-656-5499
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. BRIDGET CHAPITAL
Credential	:	MED, CHES
Telephone Number	:	832-656-5499

Provider Enumeration Date	:	03/10/2009
Last Update Date	:	03/10/2009

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Directions to “INCITE HEALTH, LLC ” Practice Location

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