MEDICARE: ANGELOPOLIS HOME HEALTH SERVICES

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

General Provider Information

NPI Number	:	1457664054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELOPOLIS HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	1708 JENKINS RD
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77506-4980
Country	:	US
Telephone Number	:	832-276-7057
Fax Number	:	713-920-1983

Provider Business Practice Location Address
First Line	:	1708 JENKINS RD
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77506-4980
Country	:	US
Telephone Number	:	832-276-7057
Fax Number	:	713-920-1983

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. HOGLA BELLINDA VELAZQUEZ
Credential	:	M. ED.
Telephone Number	:	832-276-7057

Provider Enumeration Date	:	07/23/2010
Last Update Date	:	07/23/2010

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Directions to “ANGELOPOLIS HOME HEALTH SERVICES ” Practice Location

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