MEDICARE: DIRECT HEALTH CARE, INC.

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	253Z00000X	In Home Supportive Care Agency
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency	002112	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002112	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1871596197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	10925 WAYNE AVE
Second Line	:	100
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2598
Country	:	US
Telephone Number	:	806-793-3999
Fax Number	:	806-793-2592

Provider Business Practice Location Address
First Line	:	10925 WAYNE AVE
Second Line	:	100
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2598
Country	:	US
Telephone Number	:	806-793-3999
Fax Number	:	806-793-2592

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DENISE VIA
Credential	:
Telephone Number	:	806-793-3999

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/03/2026

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Directions to “DIRECT HEALTH CARE, INC. ” Practice Location

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