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NPI Code Detail

MEDICARE: HOMECARE COMPANIONS INC

MEDICARE: HOMECARE COMPANIONS 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1295045219
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECARE COMPANIONS INC
Provider Business Mailing Address
First Line : 8309 SPEEDWAY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5326
Country : US
Telephone Number : 210-340-4663
Fax Number :
Provider Business Practice Location Address
First Line : 8309 SPEEDWAY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5326
Country : US
Telephone Number : 210-340-4663
Fax Number :
Authorized Official
Title or Position : C E O
Name : MR. DAVID ANTONY GOMEZ JR.
Credential :
Telephone Number : 210-340-4663
Provider Enumeration Date : 10/08/2010
Last Update Date : 10/08/2010

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Directions to “HOMECARE COMPANIONS INC ” Practice Location

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