MEDICARE: MERCY 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	008935	TX

General Provider Information

NPI Number	:	1871530790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	10101 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4563
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4564
Country	:	US
Telephone Number	:	713-721-2869
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTATORDON
Name	:	RITA MADU
Credential	:
Telephone Number	:	713-721-2869

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	07/21/2022

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Directions to “MERCY HEALTHCARE SERVICES, INC. ” Practice Location

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