MEDICARE: MIMIS CARING ANGELS CORPORATION

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1912723438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIMIS CARING ANGELS CORPORATION

Provider Business Mailing Address
First Line	:	9811 MARTHA SPRINGS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3870
Country	:	US
Telephone Number	:	281-253-0331
Fax Number	:

Provider Business Practice Location Address
First Line	:	9811 MARTHA SPRINGS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3870
Country	:	US
Telephone Number	:	281-253-0331
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DEBRA HUNTER
Credential	:
Telephone Number	:	281-253-0331

Provider Enumeration Date	:	11/30/2024
Last Update Date	:	12/05/2024

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Directions to “MIMIS CARING ANGELS CORPORATION ” Practice Location

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