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NPI Code Detail

MEDICARE: AGELESS LIVING HOME HEALTH LLC

MEDICARE: AGELESS LIVING HOME HEALTH 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
1251S00000XCommunity/Behavioral Health Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251J00000XNursing Care Agency
4253Z00000XIn Home Supportive Care Agency
5343900000XNon-emergency Medical Transport (VAN)
6251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1014016OTHERTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
2018034OTHERTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952614067
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGELESS LIVING HOME HEALTH LLC
Provider Business Mailing Address
First Line : 7300 STATE HIGHWAY 121 STE 700
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-2414
Country : US
Telephone Number : 210-875-0853
Fax Number : 903-532-1400
Provider Business Practice Location Address
First Line : 6777 CAMP BOWIE BLVD STE 650A
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7155
Country : US
Telephone Number : 817-810-0660
Fax Number : 903-532-1401
Authorized Official
Title or Position : CEO
Name : JESSICA RIGGS
Credential : RN
Telephone Number : 903-271-2847
Provider Enumeration Date : 07/18/2010
Last Update Date : 10/09/2025

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Directions to “AGELESS LIVING HOME HEALTH LLC ” Practice Location

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