MEDICARE: ALL IN ONE HOME SERVICE

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	253Z00000X	In Home Supportive Care Agency		TX

General Provider Information

NPI Number	:	1316274798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL IN ONE HOME SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 300844
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77230-0844
Country	:	US
Telephone Number	:	832-654-3001
Fax Number	:	615-628-5197

Provider Business Practice Location Address
First Line	:	1818 DEMAREE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-3944
Country	:	US
Telephone Number	:	832-654-3001
Fax Number	:	615-628-5197

Authorized Official
Title or Position	:	CEO
Name	:	DIANA EVANS
Credential	:
Telephone Number	:	832-654-3001

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	11/05/2009

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Directions to “ALL IN ONE HOME SERVICE ” Practice Location

Language	Start Address	Practice Location

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