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HOME CARE OF FIDELITY NPI 1710960059


NPI Information

NPI: 1710960059
Provider Name: HOME CARE OF FIDELITY

Doing Business As: FIDELITY HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4615 SOUTHWEST FWY
STE 479
HOUSTON, TX
ZIP 77027
Phone: (713) 365-9121
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HOME CARE OF FIDELITY is a durable medical equipment medical supplies in Houston, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HOME CARE OF FIDELITY NPI is 1710960059. The provider is registered as an organization entity type.
The provider Is Doing Business As Fidelity Home Medical.

The provider's business location address is:

4615 SOUTHWEST FWY
STE 479
HOUSTON, TX
ZIP 77027-108
Phone: (713) 365-9121
Fax: (713) 365-9120

The provider's authorized official is Avery Eric Oblepias .
The authorized official title is Owner and has the following contact phone number (713) 365-9121.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesTEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016448501MEDICAIDTEXAS

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: 4/28/2024

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