MEDICARE: CARENICE HOME HEALTHCARE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1134818396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARENICE HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	9621 WALNUT ST APT 6102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-2365
Country	:	US
Telephone Number	:	682-559-3417
Fax Number	:

Provider Business Practice Location Address
First Line	:	11601 AUDELIA RD APT 252
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-5652
Country	:	US
Telephone Number	:	682-559-3417
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BERENICE SACRAMENTO
Credential	:
Telephone Number	:	682-559-3417

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	02/11/2026

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Directions to “CARENICE HOME HEALTHCARE LLC ” Practice Location

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