MEDICARE: WHEEZY'S HOME CARE

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	374U00000X	Home Health Aide
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1679276844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEEZY'S HOME CARE

Provider Business Mailing Address
First Line	:	5803 BELCREST ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-2141
Country	:	US
Telephone Number	:	832-405-1165
Fax Number	:	832-991-8616

Provider Business Practice Location Address
First Line	:	5803 BELCREST ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-2141
Country	:	US
Telephone Number	:	832-405-1165
Fax Number	:	832-991-8616

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLYN ANN RILEY
Credential	:
Telephone Number	:	832-405-1165

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	03/27/2023

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