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NPI Code Detail

MEDICARE: MAIN CARE HEALTHCARE LLC.

MEDICARE: MAIN CARE 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1053248021
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAIN CARE HEALTHCARE LLC.
Provider Business Mailing Address
First Line : 1201 N WATSON RD STE 132D
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-6122
Country : US
Telephone Number : 214-809-1174
Fax Number :
Provider Business Practice Location Address
First Line : 1201 N WATSON RD STE 132D
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-6122
Country : US
Telephone Number : 214-809-1174
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MICHEAL AJUWON
Credential :
Telephone Number : 214-809-1174
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “MAIN CARE HEALTHCARE LLC. ” Practice Location

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