MEDICARE: TREYVONE HEALTH CARE 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		TX

General Provider Information

NPI Number	:	1528189347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREYVONE HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	6610 HARWIN DR STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2293
Country	:	US
Telephone Number	:	713-532-0013
Fax Number	:	713-532-0015

Provider Business Practice Location Address
First Line	:	6610 HARWIN DR STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2293
Country	:	US
Telephone Number	:	713-532-0013
Fax Number	:	713-532-0015

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VINCENT OGADI
Credential	:
Telephone Number	:	713-532-0013

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/22/2020

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