MEDICARE: ABUCARE HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1437587557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUCARE HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	7330 EDEN CROSSING LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1574
Country	:	US
Telephone Number	:	832-715-9088
Fax Number	:	713-234-7198

Provider Business Practice Location Address
First Line	:	7330 EDEN CROSSING LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1574
Country	:	US
Telephone Number	:	832-715-9088
Fax Number	:	713-234-7198

Authorized Official
Title or Position	:	CEO
Name	:	SPENCER OGBONNA
Credential	:
Telephone Number	:	832-715-9088

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	10/29/2013

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