MEDICARE: MED HEALTH , INC.

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	1004712	TX
2	251G00000X	Community Based Hospice Care Agency
3	251E00000X	Home Health Agency	1004533	TX

General Provider Information

NPI Number	:	1427062371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED HEALTH , INC.

Provider Business Mailing Address
First Line	:	3001 WICHITA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7719
Country	:	US
Telephone Number	:	713-661-6607
Fax Number	:	713-522-0333

Provider Business Practice Location Address
First Line	:	3001 WICHITA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7719
Country	:	US
Telephone Number	:	713-661-6607
Fax Number	:	713-522-0333

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MS. MARY MARIE JONES
Credential	:	R.N
Telephone Number	:	713-661-6607

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/01/2008

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