MEDICARE: BE HEALTHY AT HOME

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	010209	TX

General Provider Information

NPI Number	:	1548439565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE HEALTHY AT HOME

Provider Business Mailing Address
First Line	:	825 MAIN ST STE 110
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-3273
Country	:	US
Telephone Number	:	512-295-7000
Fax Number	:	512-295-7070

Provider Business Practice Location Address
First Line	:	825 MAIN ST STE 110
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-3273
Country	:	US
Telephone Number	:	512-295-7000
Fax Number	:	512-295-7070

Authorized Official
Title or Position	:	CEO/ PRESIDENT
Name	:	BRANDIS NICOLE WILMORE
Credential	:
Telephone Number	:	512-295-7000

Provider Enumeration Date	:	02/24/2008
Last Update Date	:	01/27/2021

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Directions to “BE HEALTHY AT HOME ” Practice Location

Language	Start Address	Practice Location

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