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NPI Code Detail

MEDICARE: LIPET HOME CARE INC

MEDICARE: LIPET HOME 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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251E00000XHome Health Agency010363TX
3251E00000XHome Health Agency
4253Z00000XIn Home Supportive Care Agency
5372600000XAdult Companion
63747P1801XPersonal Care Attendant
7374U00000XHome Health Aide
8376J00000XHomemaker
9385H00000XRespite Care
10251J00000XNursing Care Agency

General Provider Information

NPI Number : 1932107786
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIPET HOME CARE INC
Provider Business Mailing Address
First Line : 2008 E RANDOL MILL RD
Second Line : SUITE 115
City : ARLINGTON
State : TX
Zip : 76011-8205
Country : US
Telephone Number : 817-794-5959
Fax Number : 817-594-0999
Provider Business Practice Location Address
First Line : 2012 E RANDOL MILL RD STE 201
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-8222
Country : US
Telephone Number : 817-794-5959
Fax Number : 817-794-0999
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. PET EBERE ANAMEGE
Credential : RN, BSN
Telephone Number : 817-794-5959
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/10/2025

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Directions to “LIPET HOME CARE INC ” Practice Location

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