MEDICARE: INDEPENDENT HOME HEALTH CARE, 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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency	001663	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000114700	OTHER	TX	PROVIDER NUMBER
2	000649100	OTHER	TX	PROVIDER NUMBER

General Provider Information

NPI Number	:	1780636902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	2401 ISABELLA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-4355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 ISABELLA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-4355
Country	:	US
Telephone Number	:	713-520-6864
Fax Number	:	713-520-6865

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MRS. MARY SMITH
Credential	:
Telephone Number	:	713-520-6864

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/31/2024

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Directions to “INDEPENDENT HOME HEALTH CARE, INC ” Practice Location

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