MEDICARE: NORTH HOME HEALTHCARE, 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
2	251E00000X	Home Health Agency	457867	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306880166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	11160 DOVER ST STE A1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-2562
Country	:	US
Telephone Number	:	281-565-6525
Fax Number	:	281-565-6520

Provider Business Practice Location Address
First Line	:	11160 DOVER ST STE A1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-2562
Country	:	US
Telephone Number	:	281-565-6525
Fax Number	:	281-565-6520

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. TONJA GAYLES-NORTH
Credential	:
Telephone Number	:	281-565-6525

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	09/30/2020

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Directions to “NORTH HOME HEALTHCARE, LLC ” Practice Location

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