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NPI Code Detail

MEDICARE: RDN HOME CARE AGENCY

MEDICARE: RDN HOME CARE AGENCY
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1760243240
Entity Type Code : Organization
Provider Name (Legal Business Name) : RDN HOME CARE AGENCY
Provider Business Mailing Address
First Line : 5502 THRUSH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77033-3151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4625 CHARTRES ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5143
Country : US
Telephone Number : 832-965-7604
Fax Number : 281-990-6447
Authorized Official
Title or Position : OWNER
Name : ROY NELSON
Credential :
Telephone Number : 832-965-7604
Provider Enumeration Date : 01/22/2024
Last Update Date : 05/23/2026

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Directions to “RDN HOME CARE AGENCY ” Practice Location

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