MEDICARE: HEALTHCARE AT YOUR DOOR

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	251J00000X	Nursing Care Agency	640737	TX
2	163W00000X	Registered Nurse	640737	TX

General Provider Information

NPI Number	:	1366687238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE AT YOUR DOOR

Provider Business Mailing Address
First Line	:	17424 W GRAND PKWY S
Second Line	:	SUITE 416
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2564
Country	:	US
Telephone Number	:	281-690-0380
Fax Number	:	713-782-0526

Provider Business Practice Location Address
First Line	:	17424 W GRAND PKWY S
Second Line	:	SUITE 416
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2564
Country	:	US
Telephone Number	:	281-690-0380
Fax Number	:	713-782-0526

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	CHARLOTTE D AMORIN
Credential	:	MS FNP-C
Telephone Number	:	281-690-0380

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/08/2013

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Directions to “HEALTHCARE AT YOUR DOOR ” Practice Location

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