MEDICARE: HOME CARE ASSISTANCE OF GREATER HOUSTON, 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	:	1548519283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE ASSISTANCE OF GREATER HOUSTON, INC.

Provider Business Mailing Address
First Line	:	4872 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1604
Country	:	US
Telephone Number	:	713-535-9173
Fax Number	:	713-574-6206

Provider Business Practice Location Address
First Line	:	4872 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1604
Country	:	US
Telephone Number	:	713-535-9173
Fax Number	:	713-574-6206

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA M GEORGE
Credential	:
Telephone Number	:	713-535-9173

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	09/07/2012

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