MEDICARE: CAREHOME MED SUPPLIES 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1548124449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREHOME MED SUPPLIES LLC

Provider Business Mailing Address
First Line	:	13740 N HIGHWAY 183 STE L2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-1833
Country	:	US
Telephone Number	:	224-224-5512
Fax Number	:

Provider Business Practice Location Address
First Line	:	13740 N HIGHWAY 183 STE L2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-1833
Country	:	US
Telephone Number	:	224-224-5512
Fax Number	:

Authorized Official
Title or Position	:	FACILITY MANAGER
Name	:	AMANDA J JOHNSON
Credential	:
Telephone Number	:	224-224-5512

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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