MEDICARE: AMENITY HEALTH SERVICES PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	2251P0200X	Pediatric Physical Therapist
3	163WH0200X	Home Health Registered Nurse
4	224Z00000X	Occupational Therapy Assistant
5	2355S0801X	Speech-Language Assistant
6	225200000X	Physical Therapy Assistant
7	225X00000X	Occupational Therapist
8	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1407719701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMENITY HEALTH SERVICES PLLC

Provider Business Mailing Address
First Line	:	4606 FM 1960 RD W STE 520
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4629
Country	:	US
Telephone Number	:	346-333-2794
Fax Number	:	832-404-2649

Provider Business Practice Location Address
First Line	:	285 OLD HIGHWAY 1187 STE 203
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-0219
Country	:	US
Telephone Number	:	346-333-2794
Fax Number	:	832-404-2649

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EMMANUEL CASTILLA
Credential	:
Telephone Number	:	346-333-2794

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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