MEDICARE: SURE 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	010958	TX

General Provider Information

NPI Number	:	1871640995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURE HEALTHCARE SERVICES, INC.,

Provider Business Mailing Address
First Line	:	4803 LOTUS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-3123
Country	:	US
Telephone Number	:	713-721-5408
Fax Number	:	713-721-5408

Provider Business Practice Location Address
First Line	:	4803 LOTUS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-3123
Country	:	US
Telephone Number	:	713-721-5408
Fax Number	:	713-721-5408

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LATONIA T BLATE
Credential	:
Telephone Number	:	713-721-5408

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	08/22/2020

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