MEDICARE: AYONG HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	385H00000X	Respite Care
6	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1598145740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AYONG HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	13835 WESTHOLLOW PARK DR APT 2805
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1885
Country	:	US
Telephone Number	:	832-443-5829
Fax Number	:

Provider Business Practice Location Address
First Line	:	13835 WESTHOLLOW PARK DR APT 2805
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1885
Country	:	US
Telephone Number	:	832-443-5829
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	HENRIETTA N AYONG
Credential	:
Telephone Number	:	832-443-5829

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	08/09/2023

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Directions to “AYONG HEALTH CARE LLC ” Practice Location

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