MEDICARE: CARING FOR AMERICA HOME CARE AGENCY, LLC

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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841683612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING FOR AMERICA HOME CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	3730 CYPRESS CREEK PKWY
Second Line	:	SUITE 210
City	:	HOUSTON
State	:	TX
Zip	:	77068-3530
Country	:	US
Telephone Number	:	832-965-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3730 CYPRESS CREEK PKWY
Second Line	:	SUITE 210
City	:	HOUSTON
State	:	TX
Zip	:	77068-3530
Country	:	US
Telephone Number	:	832-965-5777
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MICHICA N HOLLIDAY
Credential	:
Telephone Number	:	832-965-5777

Provider Enumeration Date	:	03/18/2015
Last Update Date	:	03/18/2015

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