MEDICARE: MPHH MEDICAL SERVICES, 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

General Provider Information

NPI Number	:	1477183390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MPHH MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	17910 CARROLL PLACE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2572
Country	:	US
Telephone Number	:	832-955-7946
Fax Number	:

Provider Business Practice Location Address
First Line	:	17910 CARROLL PLACE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2572
Country	:	US
Telephone Number	:	832-955-7946
Fax Number	:

Authorized Official
Title or Position	:	ADMINISRTRATOR
Name	:	OLUCHUKWU IKEJIOFOR
Credential	:	RN
Telephone Number	:	832-955-7946

Provider Enumeration Date	:	01/20/2020
Last Update Date	:	01/20/2020

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