MEDICARE: EXPERT COMPANION CARE 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

General Provider Information

NPI Number	:	1699368381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPERT COMPANION CARE INC

Provider Business Mailing Address
First Line	:	4131 CANE VALLEY CT
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-1758
Country	:	US
Telephone Number	:	832-437-5004
Fax Number	:	832-437-5004

Provider Business Practice Location Address
First Line	:	4131 CANE VALLEY CT
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-1758
Country	:	US
Telephone Number	:	832-437-5004
Fax Number	:	832-437-5004

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	SONIA KAISTHA
Credential	:
Telephone Number	:	832-437-5004

Provider Enumeration Date	:	02/15/2021
Last Update Date	:	02/15/2021

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