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NPI Code Detail

MEDICARE: ADVANCED CARE HOME HEALTH, LLC

MEDICARE: ADVANCED CARE HOME HEALTH, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1972141778
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CARE HOME HEALTH, LLC
Provider Business Mailing Address
First Line : 950 ECHO LN # 200-23
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2756
Country : US
Telephone Number : 713-239-1141
Fax Number : 713-583-5315
Provider Business Practice Location Address
First Line : 950 ECHO LN # 200-23
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2756
Country : US
Telephone Number : 713-239-1141
Fax Number : 713-583-5315
Authorized Official
Title or Position : ADMINISTRATOR
Name : JUAN CARLOS MAZORRA
Credential :
Telephone Number : 713-239-1141
Provider Enumeration Date : 12/12/2019
Last Update Date : 05/04/2023

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Directions to “ADVANCED CARE HOME HEALTH, LLC ” Practice Location

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