MEDICARE: ELDERCARE MEDICAL SUPPLIES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BD1200X	Dialysis Equipment & Supplies (DME)
3	332BN1400X	Nursing Facility Supplies (DME)
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	332BX2000X	Oxygen Equipment & Supplies (DME)
6	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1629430889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERCARE MEDICAL SUPPLIES, LLC

Provider Business Mailing Address
First Line	:	1450 W GRAND PKWY S
Second Line	:	SUITE 408
City	:	KATY
State	:	TX
Zip	:	77494-8204
Country	:	US
Telephone Number	:	281-224-6245
Fax Number	:	281-769-9800

Provider Business Practice Location Address
First Line	:	531 PROMENADE BLVD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-2441
Country	:	US
Telephone Number	:	281-224-6245
Fax Number	:	281-769-9800

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DERRICK CARTER
Credential	:
Telephone Number	:	281-224-6245

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	03/25/2016

Similar Medicare Providers

1659661551 — DR. PUNITA KASHYAP SUNDER PH.D., M.D.
Practice Location Address:

21715 KINGSLAND BLVD , SUITE 103
KATY, TX
77450-2543

Practice Phone: 281-398-7353
Practice Fax:

1538833769 — REDIET FLETCHER
Practice Location Address:

609 PARK GROVE DR STE B
KATY, TX
77450-6191

Practice Phone: 281-398-0022
Practice Fax:

1821741513 — NOBLE HEALTH HOUSE CALLS LLC
Practice Location Address:

1618 S MASON RD
KATY, TX
77450-4563

Practice Phone: 832-263-1582
Practice Fax: 855-577-1021

1770055204 — NOBLE HEALTH INC.
Practice Location Address:

1618 S MASON RD
KATY, TX
77450-4563

Practice Phone: 713-378-0781
Practice Fax:

1619162195 — LIFECARE OPTIONS HOME HEALTH SERVICES INC
Practice Location Address:

434 PARK GROVE DRIVE
KATY, TX
77450-1571

Practice Phone: 281-646-9546
Practice Fax: 281-646-9757

1902153505 — JESSICA IVES NP
Practice Location Address:

1618 S MASON RD
KATY, TX
77450-4563

Practice Phone: 832-263-1582
Practice Fax: 832-772-4013

Directions to “ELDERCARE MEDICAL SUPPLIES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.