MEDICARE: TOTAL HOME 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	251E00000X	Home Health Agency	005424	TX

General Provider Information

NPI Number	:	1841250636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HOME CARE, INC.

Provider Business Mailing Address
First Line	:	1419 W 24TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1615
Country	:	US
Telephone Number	:	713-647-7036
Fax Number	:	713-647-9358

Provider Business Practice Location Address
First Line	:	1419 W 24TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1615
Country	:	US
Telephone Number	:	713-647-7036
Fax Number	:	713-647-9358

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. HARLEY SALCEDO TUBLE
Credential	:	R.N.
Telephone Number	:	713-647-7036

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/17/2010

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Directions to “TOTAL HOME CARE, INC. ” Practice Location

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