MEDICARE: RGC 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	011326	TX

General Provider Information

NPI Number	:	1710196274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RGC HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	9898 BISSONNET ST STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8280
Country	:	US
Telephone Number	:	713-800-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	9898 BISSONNET ST STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8280
Country	:	US
Telephone Number	:	713-800-0300
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. NKECHI UKOMADU
Credential	:	BSN, MSN., RN
Telephone Number	:	713-800-0300

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	03/29/2012

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