MEDICARE: SANTANA HOME 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1588910673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTANA HOME HEALTH CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	8831 ASPEN MEADOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3253
Country	:	US
Telephone Number	:	832-498-3822
Fax Number	:

Provider Business Practice Location Address
First Line	:	8831 ASPEN MEADOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3253
Country	:	US
Telephone Number	:	832-498-3822
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MICHAEL MEREMIKWU
Credential	:
Telephone Number	:	832-498-3822

Provider Enumeration Date	:	07/26/2012
Last Update Date	:	07/26/2012

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