MEDICARE: ANGLETON 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	009583	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001004547	OTHER	TX	PHC PROVIDER NUMBER

General Provider Information

NPI Number	:	1730182502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGLETON HOME HEALTH INC

Provider Business Mailing Address
First Line	:	1204 N VELASCO ST STE 200
Second Line	:
City	:	ANGLETON
State	:	TX
Zip	:	77515-3095
Country	:	US
Telephone Number	:	979-848-0219
Fax Number	:	979-848-2025

Provider Business Practice Location Address
First Line	:	1212 N VELASCO ST
Second Line	:	STE 200
City	:	ANGLETON
State	:	TX
Zip	:	77515-3090
Country	:	US
Telephone Number	:	979-848-0219
Fax Number	:	979-848-2025

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ELVA GUTIERREZ
Credential	:
Telephone Number	:	979-848-0219

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/14/2024

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Directions to “ANGLETON HOME HEALTH INC ” Practice Location

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