MEDICARE: VILLAGE CARE, 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
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1386264208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE CARE, LLC.

Provider Business Mailing Address
First Line	:	9950 WESTPARK DR STE 424
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5271
Country	:	US
Telephone Number	:	833-556-8773
Fax Number	:	833-666-7325

Provider Business Practice Location Address
First Line	:	9950 WESTPARK DR STE 424
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5271
Country	:	US
Telephone Number	:	833-556-8773
Fax Number	:	833-666-7325

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. FEFI JAMES
Credential	:
Telephone Number	:	833-556-8773

Provider Enumeration Date	:	04/21/2020
Last Update Date	:	03/28/2024

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