MEDICARE: VESTA HOME CARE, 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		TX

General Provider Information

NPI Number	:	1932379997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VESTA HOME CARE, INC.

Provider Business Mailing Address
First Line	:	7910 MOLINE STREET, SUITE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-4634
Country	:	US
Telephone Number	:	281-661-5900
Fax Number	:	281-661-6000

Provider Business Practice Location Address
First Line	:	7910 MOLINE ST STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-4634
Country	:	US
Telephone Number	:	281-661-5900
Fax Number	:	281-661-6000

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RATTAGORN LAPASUMPANNO
Credential	:
Telephone Number	:	281-661-5900

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	03/17/2023

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