MEDICARE: RLS HEALTH AND MEDICAL SERVICES LLC

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	:	1760035091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RLS HEALTH AND MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	11601 SHADOW CREEK PKWY # 111-336
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7283
Country	:	US
Telephone Number	:	833-322-6782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2302 SHADY COVE CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-1339
Country	:	US
Telephone Number	:	833-322-6782
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ROSE SENEGAL
Credential	:	PHD
Telephone Number	:	833-322-6782

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

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