MEDICARE: CAM CAM VENTURES II, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	251B00000X	Case Management Agency
5	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1033009774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAM CAM VENTURES II, LLC

Provider Business Mailing Address
First Line	:	529 VICKIE ST
Second Line	:
City	:	CROWLEY
State	:	TX
Zip	:	76036-2775
Country	:	US
Telephone Number	:	682-777-8862
Fax Number	:

Provider Business Practice Location Address
First Line	:	5337 RUTLAND AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-2347
Country	:	US
Telephone Number	:	682-777-8862
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CIERRA CISZECKY
Credential	:
Telephone Number	:	682-777-8862

Provider Enumeration Date	:	07/04/2025
Last Update Date	:	07/04/2025

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