MEDICARE: AMIGOS CRISTIANOS 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	012139	TX

General Provider Information

NPI Number	:	1386654374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMIGOS CRISTIANOS LLC

Provider Business Mailing Address
First Line	:	14056 SOUTHWEST FWY STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3690
Country	:	US
Telephone Number	:	979-323-7099
Fax Number	:	979-323-0555

Provider Business Practice Location Address
First Line	:	3211 AVENUE F
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-7105
Country	:	US
Telephone Number	:	979-323-7099
Fax Number	:	979-323-0555

Authorized Official
Title or Position	:	PRESIDENT, MANAGER
Name	:	CONNIE FODRIE
Credential	:
Telephone Number	:	281-743-2217

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	11/05/2025

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Directions to “AMIGOS CRISTIANOS LLC ” Practice Location

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