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NPI Code Detail

MEDICARE: LOCAL FC HOMECARE, LLC

MEDICARE: LOCAL FC HOMECARE, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1114884319
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOCAL FC HOMECARE, LLC
Provider Business Mailing Address
First Line : 6300 RIDGLEA PL STE 125
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5709
Country : US
Telephone Number : 214-295-4667
Fax Number : 972-379-0555
Provider Business Practice Location Address
First Line : 6300 RIDGLEA PL STE 125
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5709
Country : US
Telephone Number : 214-295-4667
Fax Number : 972-379-0555
Authorized Official
Title or Position : OWNER
Name : TYLER CORDER
Credential :
Telephone Number : 214-295-4667
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “LOCAL FC HOMECARE, LLC ” Practice Location

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