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NPI Code Detail

MEDICARE: SIMPLYVITAL HOME CARE LLC

MEDICARE: SIMPLYVITAL HOME 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
1251E00000XHome Health Agency
23747P1801XPersonal Care Attendant
3253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1447091459
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMPLYVITAL HOME CARE LLC
Provider Business Mailing Address
First Line : 440 BENMAR DR STE 3057
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3260
Country : US
Telephone Number : 713-851-9360
Fax Number :
Provider Business Practice Location Address
First Line : 440 BENMAR DR STE 3057
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3260
Country : US
Telephone Number : 713-851-9360
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : SIMONE BUTLER
Credential :
Telephone Number : 713-851-9360
Provider Enumeration Date : 06/04/2024
Last Update Date : 02/13/2026

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Directions to “SIMPLYVITAL HOME CARE LLC ” Practice Location

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