MEDICARE: AACOMPASSIONATE HANDS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1417823436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AACOMPASSIONATE HANDS CARE LLC

Provider Business Mailing Address
First Line	:	1807 EMERALD EDGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-4657
Country	:	US
Telephone Number	:	726-219-1050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 EMERALD EDGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-4657
Country	:	US
Telephone Number	:	726-219-1050
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERIC NDIBANG TAH
Credential	:
Telephone Number	:	703-940-2043

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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