Healthcare Provider Details

I. General information

NPI: 1760321756
Provider Name (Legal Business Name): EMERALD HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 WHITE PINE DR
FORT WORTH TX
76123-1702
US

IV. Provider business mailing address

8301 WHITE PINE DR
FORT WORTH TX
76123-1702
US

V. Phone/Fax

Practice location:
  • Phone: 484-542-9687
  • Fax:
Mailing address:
  • Phone: 484-542-9687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN BECHEM
Title or Position: OWNER
Credential:
Phone: 484-542-9687