MEDICARE: ALL ABOUT CARE

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

General Provider Information

NPI Number	:	1093390940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT CARE

Provider Business Mailing Address
First Line	:	5952 WHITTLESEY RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-4426
Country	:	US
Telephone Number	:	817-863-3575
Fax Number	:

Provider Business Practice Location Address
First Line	:	5952 WHITTLESEY RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-4426
Country	:	US
Telephone Number	:	817-863-3575
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	TERI JOHNSON
Credential	:
Telephone Number	:	817-863-3575

Provider Enumeration Date	:	03/12/2021
Last Update Date	:	03/12/2021

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Directions to “ALL ABOUT CARE ” Practice Location

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