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NPI Code Detail

MEDICARE: DREX HOME CARE LLC

MEDICARE: DREX HOME CARE 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
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1164144168
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREX HOME CARE LLC
Provider Business Mailing Address
First Line : 1612 COLUMBUS AVE STE C
Second Line :
City : WACO
State : TX
Zip : 76701-1125
Country : US
Telephone Number : 254-522-7326
Fax Number :
Provider Business Practice Location Address
First Line : 3800 PALUXY DR STE 501
Second Line :
City : TYLER
State : TX
Zip : 75703-1666
Country : US
Telephone Number : 254-522-7326
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JACOB NEUBERT
Credential :
Telephone Number : 254-230-8917
Provider Enumeration Date : 09/15/2022
Last Update Date : 05/27/2026

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Directions to “DREX HOME CARE LLC ” Practice Location

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