MEDICARE: CYFAIR HEALTHCARE 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	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1942651658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYFAIR HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	6760 OLD JACKSONVILLE HWY STE 101
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0566
Country	:	US
Telephone Number	:	281-890-0338
Fax Number	:	832-518-5258

Provider Business Practice Location Address
First Line	:	23902 FM 2978 RD
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-5059
Country	:	US
Telephone Number	:	281-890-0338
Fax Number	:	832-518-5258

Authorized Official
Title or Position	:	SECRETARY AND CHIEF GROWTH OFFICER
Name	:	KATRINA LANIER
Credential	:
Telephone Number	:	855-485-8273

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	12/09/2025

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