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MED-SOURCE HOMECARE SERVICES NPI 1902144660


NPI Information

NPI: 1902144660
Provider Name: MED-SOURCE HOMECARE SERVICES

Former Legal Business Name: MED-SOURCE HEALTHCARE SERVICES, INC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 45D1047182

Address:
12926 DAIRY ASHFORD RD
SUITE 150
SUGAR LAND, TX
ZIP 77478
Phone: (281) 265-0095
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MED-SOURCE HOMECARE SERVICES is an in home supportive care in Sugar Land, TX. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. MED-SOURCE HOMECARE SERVICES NPI is 1902144660. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Med-source Healthcare Services, Inc.

The provider's business location address is:

12926 DAIRY ASHFORD RD
SUITE 150
SUGAR LAND, TX
ZIP 77478-293
Phone: (281) 265-0095

The provider's authorized official is Priscilla Udeagha .
The authorized official title is Adminstrator and has the following contact phone number (281) 265-0095.

The CLIA number assigned to this NPI record is 45D1047182 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 1/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive Care010184TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1012116667MEDICAIDTEXAS
2747128MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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