MEDICARE: PHASES HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	251G00000X	Community Based Hospice Care Agency
5	385H00000X	Respite Care
6	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1992668123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHASES HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	400 LAS COLINAS BLVD E STE 300
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-5613
Country	:	US
Telephone Number	:	314-972-2560
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 LAS COLINAS BLVD E STE 300
Second Line	:	OFFICE 95
City	:	IRVING
State	:	TX
Zip	:	75039-5613
Country	:	US
Telephone Number	:	314-972-2560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIONTRAE TERRELL
Credential	:
Telephone Number	:	314-972-2560

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	03/06/2026

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Directions to “PHASES HOME HEALTHCARE LLC ” Practice Location

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