MEDICARE: HGMB 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	:	1386574812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HGMB LLC

Provider Business Mailing Address
First Line	:	15330 LYNDON B JOHNSON FWY STE 110
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-1200
Country	:	US
Telephone Number	:	734-658-6302
Fax Number	:

Provider Business Practice Location Address
First Line	:	15330 LYNDON B JOHNSON FWY STE 110
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-1200
Country	:	US
Telephone Number	:	734-658-6302
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PADMAGIRISH VENKATESWARAN
Credential	:
Telephone Number	:	734-658-6302

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “HGMB LLC ” Practice Location

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