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NPI Code Detail

MEDICARE: LIFECARE OPTIONS HOME HEALTH SERVICES INC

MEDICARE: LIFECARE OPTIONS HOME HEALTH 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
1251G00000XCommunity Based Hospice Care Agency
23747P1801XPersonal Care Attendant
3251C00000XDevelopmentally Disabled Services Day Training Agency
4251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619162195
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE OPTIONS HOME HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 434 PARK GROVE DRIVE
Second Line :
City : KATY
State : TX
Zip : 77450-1571
Country : US
Telephone Number : 281-646-9546
Fax Number : 281-646-9757
Provider Business Practice Location Address
First Line : 434 PARK GROVE DRIVE
Second Line :
City : KATY
State : TX
Zip : 77450-1571
Country : US
Telephone Number : 281-646-9546
Fax Number : 281-646-9757
Authorized Official
Title or Position : ADMINISTRATOR
Name : JESSICA IVES
Credential : RN,FNP.C
Telephone Number : 817-903-7703
Provider Enumeration Date : 09/07/2007
Last Update Date : 01/10/2024

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Directions to “LIFECARE OPTIONS HOME HEALTH SERVICES INC ” Practice Location

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