MEDICARE: CODIFIED MEDICAL SERVICES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558685677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CODIFIED MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	8227 WEDNESBURY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2917
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8227 WEDNESBURY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2917
Country	:	US
Telephone Number	:	713-270-8746
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. BENNETH OKPALA
Credential	:
Telephone Number	:	713-270-8746

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	03/18/2010

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Directions to “CODIFIED MEDICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

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