MEDICARE: KIDS HOME CARE OF TEXAS, INC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	007459	TX
2	251J00000X	Nursing Care Agency
3	251E00000X	Home Health Agency	008005	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	008005	OTHER	TX	TEXAS STATE LICENSE NUMBE
6	007459	OTHER	TX	TEXAS STATE LICENSE

NPI Number	:	1376598896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS HOME CARE OF TEXAS, INC

Provider Business Mailing Address
First Line	:	1225 NORTH LOOP W
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77008-1795
Country	:	US
Telephone Number	:	713-812-7000
Fax Number	:	713-812-7555

Provider Business Practice Location Address
First Line	:	1225 NORTH LOOP W STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1795
Country	:	US
Telephone Number	:	713-812-8822
Fax Number	:	713-812-7555

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RENE J FELIUS
Credential	:
Telephone Number	:	713-812-7000

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	12/11/2023