MEDICARE: ST MARY'S HOME HEALTH 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	007453	TX

General Provider Information

NPI Number	:	1922004944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST MARY'S HOME HEALTH INC

Provider Business Mailing Address
First Line	:	2901 WILCREST DR STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3399
Country	:	US
Telephone Number	:	713-781-4211
Fax Number	:	713-781-4221

Provider Business Practice Location Address
First Line	:	2901 WILCREST DR STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3399
Country	:	US
Telephone Number	:	713-781-4211
Fax Number	:	713-781-4221

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	SANJUANA RIOS
Credential	:
Telephone Number	:	713-781-4211

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	10/23/2025

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