MEDICARE: SELECT CARE HOME HEALTH, 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	007966	TX

General Provider Information

NPI Number	:	1598761132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT CARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	11803 GRANT RD
Second Line	:	STE 203
City	:	CYPRESS
State	:	TX
Zip	:	77429-4022
Country	:	US
Telephone Number	:	281-370-3500
Fax Number	:	281-370-3567

Provider Business Practice Location Address
First Line	:	11803 GRANT RD
Second Line	:	STE 203
City	:	CYPRESS
State	:	TX
Zip	:	77429-4022
Country	:	US
Telephone Number	:	281-370-3500
Fax Number	:	281-370-3567

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ROBERTO GOAN
Credential	:
Telephone Number	:	281-370-3500

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	01/24/2022

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