MEDICARE: MIMAC HEALTH SERVICES,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
2	251B00000X	Case Management Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care
5	385HR2055X	Child Mental Illness Respite Care
6	385HR2065X	Child Physical Disabilities Respite Care
7	376J00000X	Homemaker

General Provider Information

NPI Number	:	1255997789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIMAC HEALTH SERVICES,INC

Provider Business Mailing Address
First Line	:	8005 S KIRKWOOD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-4702
Country	:	US
Telephone Number	:	832-607-6629
Fax Number	:

Provider Business Practice Location Address
First Line	:	8005 S KIRKWOOD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-4702
Country	:	US
Telephone Number	:	832-607-6629
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LINH THI HONG NGUYEN
Credential	:
Telephone Number	:	832-607-6629

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	04/29/2026

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