MEDICARE: CAREGIVERS OF GARDEN CITY, 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

General Provider Information

NPI Number	:	1962999839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREGIVERS OF GARDEN CITY, LLC

Provider Business Mailing Address
First Line	:	3010 LYNDON B. JOHNSON FWY
Second Line	:	STE 1100
City	:	DALLAS
State	:	TX
Zip	:	75234
Country	:	US
Telephone Number	:	620-322-9500
Fax Number	:	620-322-2112

Provider Business Practice Location Address
First Line	:	1507 E FULTON TERRACE
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-6165
Country	:	US
Telephone Number	:	620-322-9500
Fax Number	:	620-322-2112

Authorized Official
Title or Position	:	DIR LICENSE & REGULATORY COMPLIANCE
Name	:	ANGEL STANSBURY
Credential	:
Telephone Number	:	337-344-2141

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	02/05/2026

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