MEDICARE: CAREING FOR AMERICA EXTENDED SERVICE, LLC

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	02249981	TX

General Provider Information

NPI Number	:	1265809529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREING FOR AMERICA EXTENDED SERVICE, LLC

Provider Business Mailing Address
First Line	:	3730 FM 1960 RD W
Second Line	:	SITE 210
City	:	HOUSTON
State	:	TX
Zip	:	77068-3530
Country	:	US
Telephone Number	:	832-695-5777
Fax Number	:	713-695-8339

Provider Business Practice Location Address
First Line	:	3730 FM 1960 RD W
Second Line	:	SITE 210
City	:	HOUSTON
State	:	TX
Zip	:	77068-3530
Country	:	US
Telephone Number	:	832-695-5777
Fax Number	:	713-695-8339

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELINE A SMITH
Credential	:
Telephone Number	:	832-695-5777

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	08/21/2015

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