MEDICARE: V & D HEALTH CARE SERVICES, 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

General Provider Information

NPI Number	:	1326117441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	V & D HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	11247 RIVERRIDGE PARK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11247 RIVERRIDGE PARK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2385
Country	:	US
Telephone Number	:	281-412-4375
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID OGUAMANAM
Credential	:
Telephone Number	:	281-412-4375

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/22/2020

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