MEDICARE: MHC AREA 9, 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	:	1245899020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MHC AREA 9, LLC

Provider Business Mailing Address
First Line	:	6760 OLD JACKSONVILLE HWY STE 101
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0566
Country	:	US
Telephone Number	:	855-485-8273
Fax Number	:	903-200-5573

Provider Business Practice Location Address
First Line	:	6001 BROKEN SOUND PKWY NW STE 220
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-2754
Country	:	US
Telephone Number	:	561-327-9060
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	KATRINA LANIER
Credential	:
Telephone Number	:	855-485-8273

Provider Enumeration Date	:	06/06/2019
Last Update Date	:	04/17/2026

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