MEDICARE: PEOPLE'S HEALTHCARE TX 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1053139667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE'S HEALTHCARE TX LLC

Provider Business Mailing Address
First Line	:	1225 PECAN SQUARE DR APT 46
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-5564
Country	:	US
Telephone Number	:	314-898-3809
Fax Number	:	314-820-1222

Provider Business Practice Location Address
First Line	:	1225 PECAN SQUARE DR APT 46
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-5564
Country	:	US
Telephone Number	:	314-898-3809
Fax Number	:	314-820-1222

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	QUINCY PEOPLES
Credential	:
Telephone Number	:	314-898-3809

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/09/2025

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Directions to “PEOPLE'S HEALTHCARE TX LLC ” Practice Location

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