MEDICARE: ESTAN HEALTHCARE 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	011090	TX

General Provider Information

NPI Number	:	1346364130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTAN HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	14119 ALMOND BAY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6346
Country	:	US
Telephone Number	:	281-498-8280
Fax Number	:	281-498-8993

Provider Business Practice Location Address
First Line	:	14119 ALMOND BAY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6346
Country	:	US
Telephone Number	:	281-498-8280
Fax Number	:	281-498-8993

Authorized Official
Title or Position	:	CEO
Name	:	MRS. STELLA K UBI
Credential	:	REGISTERED NURSE
Telephone Number	:	281-498-8280

Provider Enumeration Date	:	03/18/2007
Last Update Date	:	09/06/2013

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