MEDICARE: NOELLE & PHILIPS HOME HEALTHCARE 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	:	1003709874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOELLE & PHILIPS HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1217 VERHEYDEN DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-1253
Country	:	US
Telephone Number	:	214-315-2392
Fax Number	:

Provider Business Practice Location Address
First Line	:	1217 VERHEYDEN DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-1253
Country	:	US
Telephone Number	:	214-315-2392
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OLANIYI SOYEBO
Credential	:
Telephone Number	:	214-315-2392

Provider Enumeration Date	:	05/31/2025
Last Update Date	:	02/18/2026

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