MEDICARE: 806 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205771888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	806 HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4413 82ND ST STE 135B
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-3384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4413 82ND ST STE 135B
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-3384
Country	:	US
Telephone Number	:	208-207-2726
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	AMBER TUELLER
Credential	:
Telephone Number	:	208-207-2726

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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