MEDICARE: GVA HOME HEALTHCARE SERVICES 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

General Provider Information

NPI Number	:	1356006696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GVA HOME HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	11811 EAST FWY STE 63011
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-2056
Country	:	US
Telephone Number	:	832-344-3582
Fax Number	:

Provider Business Practice Location Address
First Line	:	11811 EAST FWY STE 63011
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-2056
Country	:	US
Telephone Number	:	832-344-3582
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CFO/ADMIN
Name	:	ELVINA THOMAS
Credential	:
Telephone Number	:	832-628-3997

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	01/06/2022

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