MEDICARE: AA & B HOME CARE, 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	372600000X	Adult Companion
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255840815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AA & B HOME CARE, INC.

Provider Business Mailing Address
First Line	:	9302 GAUGUIN LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6918
Country	:	US
Telephone Number	:	281-804-3836
Fax Number	:	281-764-9611

Provider Business Practice Location Address
First Line	:	9302 GAUGUIN LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6918
Country	:	US
Telephone Number	:	281-804-3836
Fax Number	:	281-764-9611

Authorized Official
Title or Position	:	DIRECTOR / VICE-PRESIDENT
Name	:	MRS. BEATRICE B ASHU
Credential	:	BS, MA, TXCG
Telephone Number	:	281-804-3836

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	09/27/2017

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