MEDICARE: INTERFAITH MINISTRIES FOR GREATER HOUSTON

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	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1821438623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERFAITH MINISTRIES FOR GREATER HOUSTON

Provider Business Mailing Address
First Line	:	3303 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9322
Country	:	US
Telephone Number	:	713-533-4900
Fax Number	:	713-800-5115

Provider Business Practice Location Address
First Line	:	3303 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9322
Country	:	US
Telephone Number	:	713-533-4900
Fax Number	:	713-800-5115

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. ANDREW H HOFFMAN
Credential	:
Telephone Number	:	713-533-4906

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/26/2013

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