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NPI Code Detail

MEDICARE: SPECIALTY HOMECARE LLC

MEDICARE: SPECIALTY HOMECARE 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407311129
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALTY HOMECARE LLC
Provider Business Mailing Address
First Line : 17715 OVERLOOK LOOP APT 6201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78259-1781
Country : US
Telephone Number : 210-352-5242
Fax Number : 210-352-5271
Provider Business Practice Location Address
First Line : 17715 OVERLOOK LOOP APT 6201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78259-1781
Country : US
Telephone Number : 210-352-5242
Fax Number : 210-352-5271
Authorized Official
Title or Position : ADMINISTRATOR/SUPERVISING NURSE
Name : MRS. MEGAN FRANCINE MORALES
Credential : BSN, RN
Telephone Number : 210-544-6938
Provider Enumeration Date : 02/06/2019
Last Update Date : 11/17/2021

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Directions to “SPECIALTY HOMECARE LLC ” Practice Location

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