MEDICARE: CEN 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

General Provider Information

NPI Number	:	1851652523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEN HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	8207 TAMAYO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5283
Country	:	US
Telephone Number	:	832-605-8142
Fax Number	:	281-501-9874

Provider Business Practice Location Address
First Line	:	8207 TAMAYO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5283
Country	:	US
Telephone Number	:	832-605-8142
Fax Number	:	281-501-9874

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLETUS E NWACHUKWU
Credential	:
Telephone Number	:	832-605-8142

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	05/30/2012

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