MEDICARE: ALTEZA 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	376J00000X	Homemaker
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114857604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTEZA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	14305 TANDEM BLVD BSMT 66
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-6563
Country	:	US
Telephone Number	:	956-575-7681
Fax Number	:

Provider Business Practice Location Address
First Line	:	14305 TANDEM BLVD BSMT 66
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-6563
Country	:	US
Telephone Number	:	956-575-7681
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MARILYN DONIS
Credential	:
Telephone Number	:	956-575-7681

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/26/2026

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Directions to “ALTEZA HEALTHCARE LLC ” Practice Location

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