MEDICARE: I FLORISH LLC

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	253Z00000X	In Home Supportive Care Agency	018077	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	018077	OTHER	TX	DADS

General Provider Information

NPI Number	:	1962911222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I FLORISH LLC

Provider Business Mailing Address
First Line	:	14614 FALLING CREEK DR STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2941
Country	:	US
Telephone Number	:	832-705-8911
Fax Number	:	832-705-8925

Provider Business Practice Location Address
First Line	:	14614 FALLING CREEK DR STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2941
Country	:	US
Telephone Number	:	832-705-8911
Fax Number	:	832-705-8925

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICE
Name	:	MS. FLORENCE SONGS
Credential	:
Telephone Number	:	832-705-8911

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	07/21/2022

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Directions to “I FLORISH LLC ” Practice Location

Language	Start Address	Practice Location

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