MEDICARE: JOSH HEALTHCARE SERVICES 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	008407	TX

General Provider Information

NPI Number	:	1770794372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSH HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 770159
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77215-0159
Country	:	US
Telephone Number	:	281-635-6309
Fax Number	:

Provider Business Practice Location Address
First Line	:	9207 COUNTRY CREEK DR
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77036-7714
Country	:	US
Telephone Number	:	281-635-6309
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GODFREY J UDUMA
Credential	:
Telephone Number	:	281-635-6309

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	01/30/2012

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