MEDICARE: ALCOMED HOMEHEALTH SERVICES, 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	012090	TX

General Provider Information

NPI Number	:	1689784167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALCOMED HOMEHEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	9330 AMBERTON PKWY
Second Line	:	STE. 2220
City	:	DALLAS
State	:	TX
Zip	:	75243-3278
Country	:	US
Telephone Number	:	972-442-5443
Fax Number	:	214-570-8335

Provider Business Practice Location Address
First Line	:	9330 AMBERTON PKWY
Second Line	:	STE. 2220
City	:	DALLAS
State	:	TX
Zip	:	75243-3278
Country	:	US
Telephone Number	:	972-442-5443
Fax Number	:	214-570-8335

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LAWRENCE ARUM
Credential	:	RN, BA
Telephone Number	:	972-442-5443

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/22/2009

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