MEDICARE: HAN MA EUM, 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	014775	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1265706600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAN MA EUM, INC

Provider Business Mailing Address
First Line	:	1249 BLALOCK RD STE B203
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-6479
Country	:	US
Telephone Number	:	713-722-0035
Fax Number	:	713-973-2097

Provider Business Practice Location Address
First Line	:	9819 LONG POINT RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-4137
Country	:	US
Telephone Number	:	713-722-0035
Fax Number	:	409-835-1164

Authorized Official
Title or Position	:	ALTERNATE ADMINISTRATOR
Name	:	MRS. LINH ATKINS
Credential	:
Telephone Number	:	713-722-0035

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	02/08/2022

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