MEDICARE: MEDHAVEN HOME HEALTHCARE 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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1487510301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDHAVEN HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1846 SNAKE RIVER RD STE 5
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1846 SNAKE RIVER RD STE 5
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7758
Country	:	US
Telephone Number	:	832-785-3882
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NAOMI HOPKINS
Credential	:
Telephone Number	:	832-785-3882

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	03/25/2026

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