MEDICARE: SPARROW ASSISTANCE INC

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	:	1205295128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARROW ASSISTANCE INC

Provider Business Mailing Address
First Line	:	1450 W GRAND PKWY S
Second Line	:	G-129
City	:	KATY
State	:	TX
Zip	:	77494-8286
Country	:	US
Telephone Number	:	281-236-0211
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 BROADFIELD BLVD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77084-5163
Country	:	US
Telephone Number	:	832-690-0172
Fax Number	:	281-994-7801

Authorized Official
Title or Position	:	CEO
Name	:	MS. JACQUELINE BAILEY
Credential	:
Telephone Number	:	281-236-0211

Provider Enumeration Date	:	02/19/2016
Last Update Date	:	05/25/2016

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