Healthcare Provider Details

I. General information

NPI: 1568385177
Provider Name (Legal Business Name): HEROES HOME HEALTH TX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 S. OSAGE
AMARILLO TX
79118
US

IV. Provider business mailing address

7501 S. OSAGE
AMARILLO TX
79118
US

V. Phone/Fax

Practice location:
  • Phone: 806-420-0012
  • Fax: 806-803-9996
Mailing address:
  • Phone: 806-420-0012
  • Fax: 806-803-9996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIM DYSON MAY
Title or Position: CEO/OWNER
Credential:
Phone: 806-420-0012