MEDICARE: MORNING STAR QUALITY 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	010568	TX

General Provider Information

NPI Number	:	1649369273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORNING STAR QUALITY HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	600 EAST WHALEY
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601
Country	:	US
Telephone Number	:	903-757-5360
Fax Number	:	903-757-5760

Provider Business Practice Location Address
First Line	:	1250 E COPELAND RD STE 240
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-1345
Country	:	US
Telephone Number	:	877-388-2304
Fax Number	:	214-275-6499

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	CYNTHIA A CALLOWAY
Credential	:	RN
Telephone Number	:	39-681-7406

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/03/2019

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