MEDICARE: ADVOCATES HOUSE

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1245753664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCATES HOUSE

Provider Business Mailing Address
First Line	:	PO BOX 840534
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77284-0534
Country	:	US
Telephone Number	:	713-609-9908
Fax Number	:	713-856-9161

Provider Business Practice Location Address
First Line	:	5322 PINE CLIFF DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3140
Country	:	US
Telephone Number	:	713-609-9908
Fax Number	:	713-856-9161

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	KIM TWEEDEL
Credential	:
Telephone Number	:	713-609-9908

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	07/18/2017

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Directions to “ADVOCATES HOUSE ” Practice Location

Language	Start Address	Practice Location

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