MEDICARE: AMENITY HEALTH SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225200000X	Physical Therapy Assistant
3	2355S0801X	Speech-Language Assistant
4	235Z00000X	Speech-Language Pathologist
5	251E00000X	Home Health Agency
6	261QA3000X	Augmentative Communication Clinic/Center
7	261QH0700X	Hearing and Speech Clinic/Center
8	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1356802755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMENITY HEALTH SERVICES PLLC

Provider Business Mailing Address
First Line	:	4606 FM 1960 RD W STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4615
Country	:	US
Telephone Number	:	832-508-9609
Fax Number	:

Provider Business Practice Location Address
First Line	:	4606 FM 1960 RD W STE 520
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4629
Country	:	US
Telephone Number	:	346-333-2794
Fax Number	:	832-404-2649

Authorized Official
Title or Position	:	MEMBER
Name	:	EMMANUEL CASTILLA
Credential	:	SLP-A
Telephone Number	:	832-508-9609

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	10/31/2023

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Directions to “AMENITY HEALTH SERVICES PLLC ” Practice Location

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