MEDICARE: FIANGO HOME HEALTHCARE, 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	009356	TX

General Provider Information

NPI Number	:	1427198936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIANGO HOME HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	10101 FONDREN RD
Second Line	:	224
City	:	HOUSTON
State	:	TX
Zip	:	77096-4564
Country	:	US
Telephone Number	:	713-981-9264
Fax Number	:	713-981-9280

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD
Second Line	:	224
City	:	HOUSTON
State	:	TX
Zip	:	77096-4564
Country	:	US
Telephone Number	:	713-981-9264
Fax Number	:	713-981-9280

Authorized Official
Title or Position	:	CEO
Name	:	MR. EBONG ALOYSIUS TILONG
Credential	:
Telephone Number	:	713-981-9264

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	03/18/2008

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