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NPI Code Detail

MEDICARE: MADEA HOME CARE SERVICES LLC

MEDICARE: MADEA HOME CARE SERVICES 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
1251J00000XNursing Care Agency
23747P1801XPersonal Care Attendant
3343900000XNon-emergency Medical Transport (VAN)
4253Z00000XIn Home Supportive Care Agency
5163WH0200XHome Health Registered Nurse
6332U00000XHome Delivered Meals
7251E00000XHome Health Agency

General Provider Information

NPI Number : 1487467783
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADEA HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 1402 CORINTH ST # 138
Second Line :
City : DALLAS
State : TX
Zip : 75215-2111
Country : US
Telephone Number : 214-934-5797
Fax Number :
Provider Business Practice Location Address
First Line : 1402 CORINTH ST # 138
Second Line :
City : DALLAS
State : TX
Zip : 75215-2111
Country : US
Telephone Number : 214-938-0374
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. VICTORIA STEVENSON
Credential :
Telephone Number : 214-938-0374
Provider Enumeration Date : 01/30/2025
Last Update Date : 04/13/2026

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Directions to “MADEA HOME CARE SERVICES LLC ” Practice Location

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