MEDICARE: ENCOMPASS 2

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1528409067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCOMPASS 2

Provider Business Mailing Address
First Line	:	363 N. SAM HOUSTON E. SUITE 1100-128
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060
Country	:	US
Telephone Number	:	832-894-3997
Fax Number	:	888-908-5230

Provider Business Practice Location Address
First Line	:	363 N SAM HOUSTON PKWY E STE 1100-128
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-2404
Country	:	US
Telephone Number	:	832-894-3997
Fax Number	:	888-908-5230

Authorized Official
Title or Position	:	ADMINASTRATOR
Name	:	TRACEY RENE LEWIS
Credential	:
Telephone Number	:	832-894-3997

Provider Enumeration Date	:	07/12/2013
Last Update Date	:	07/12/2013

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Directions to “ENCOMPASS 2 ” Practice Location

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