MEDICARE: HOME CARE SENIOR 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

General Provider Information

NPI Number	:	1952540965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE SENIOR SERVICES, INC.

Provider Business Mailing Address
First Line	:	9839 WHITHORN DR STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-5334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9839 WHITHORN DR STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-5334
Country	:	US
Telephone Number	:	832-524-0712
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AXEL BALANDRANO
Credential	:
Telephone Number	:	832-524-0712

Provider Enumeration Date	:	02/13/2009
Last Update Date	:	10/07/2021

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