MEDICARE: ADF HOMECARE SERVICES 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	3747A0650X	Attendant Care Provider
2	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1083913578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADF HOMECARE SERVICES LLC

Provider Business Mailing Address
First Line	:	99 REGENCY PKWY STE 109
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7818
Country	:	US
Telephone Number	:	817-539-9485
Fax Number	:	866-591-9619

Provider Business Practice Location Address
First Line	:	99 REGENCY PKWY STE 109
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7818
Country	:	US
Telephone Number	:	817-539-9485
Fax Number	:	866-591-9619

Authorized Official
Title or Position	:	OWNER
Name	:	CHIKETA KELLY
Credential	:
Telephone Number	:	817-539-9485

Provider Enumeration Date	:	03/23/2011
Last Update Date	:	06/11/2026

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