MEDICARE: MEDSOL HOME HEALTHCARE & CASE MANAGEMENT SERVICE, 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	010103	TX

General Provider Information

NPI Number	:	1649319427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSOL HOME HEALTHCARE & CASE MANAGEMENT SERVICE, LLC

Provider Business Mailing Address
First Line	:	7807 LONG POINT RD STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3779
Country	:	US
Telephone Number	:	281-380-4683
Fax Number	:	713-722-8099

Provider Business Practice Location Address
First Line	:	7807 LONG POINT RD STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3779
Country	:	US
Telephone Number	:	281-380-4683
Fax Number	:	713-722-8099

Authorized Official
Title or Position	:	ALT. ADMINISTRATOR
Name	:	MANDANA GHOLAMHOSSEINI
Credential	:
Telephone Number	:	713-722-8009

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	12/14/2023

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