MEDICARE: OUTREACH HEALTH COMMUNITY CARE SERVICES, L.P.

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	7338	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457795262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTREACH HEALTH COMMUNITY CARE SERVICES, L.P.

Provider Business Mailing Address
First Line	:	505 E HUNTLAND DR
Second Line	:	SUITE 520
City	:	AUSTIN
State	:	TX
Zip	:	78752-3717
Country	:	US
Telephone Number	:	512-750-8520
Fax Number	:	512-973-8005

Provider Business Practice Location Address
First Line	:	222 PENNBRIGHT DR
Second Line	:	SUITE 210
City	:	HOUSTON
State	:	TX
Zip	:	77090-5921
Country	:	US
Telephone Number	:	281-872-4495
Fax Number	:	281-872-4560

Authorized Official
Title or Position	:	DIRECTOR OF CORPORATE COMPLIANCE
Name	:	SHERRY CUMMINGS
Credential	:	RN BSN CPHQ
Telephone Number	:	512-750-8520

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	04/23/2013

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