MEDICARE: CBOYZ HOMEHEALTHCARE AND STAFFING AGENCY 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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619798410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CBOYZ HOMEHEALTHCARE AND STAFFING AGENCY LLC

Provider Business Mailing Address
First Line	:	2150 S CENTRAL EXPRESSWAY
Second Line	:	STE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070
Country	:	US
Telephone Number	:	972-431-0004
Fax Number	:	972-431-0004

Provider Business Practice Location Address
First Line	:	2150 S CENTRAL EXPRESSWAY
Second Line	:	STE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070
Country	:	US
Telephone Number	:	972-431-0004
Fax Number	:	972-431-0004

Authorized Official
Title or Position	:	OWNER
Name	:	MARIE NGWAABANJONG
Credential	:
Telephone Number	:	972-431-0004

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	05/19/2026

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