MEDICARE: MATDELIN HEALTHCARE SERVICES LLC

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

General Provider Information

NPI Number	:	1629744206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATDELIN HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3614 CAMERON BLUFF LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1404
Country	:	US
Telephone Number	:	917-703-3780
Fax Number	:

Provider Business Practice Location Address
First Line	:	3614 CAMERON BLUFF LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1404
Country	:	US
Telephone Number	:	917-703-3780
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LINDA NWAHIRI
Credential	:
Telephone Number	:	917-703-3780

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	08/23/2021

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Directions to “MATDELIN HEALTHCARE SERVICES LLC ” Practice Location

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