MEDICARE: LALA HEALTHCARE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	2251P0200X	Pediatric Physical Therapist
3	225200000X	Physical Therapy Assistant
4	225X00000X	Occupational Therapist
5	225XP0200X	Pediatric Occupational Therapist
6	2355S0801X	Speech-Language Assistant
7	235Z00000X	Speech-Language Pathologist
8	251J00000X	Nursing Care Agency
9	253Z00000X	In Home Supportive Care Agency
10	261QH0700X	Hearing and Speech Clinic/Center
11	261QP2000X	Physical Therapy Clinic/Center
12	261QR0400X	Rehabilitation Clinic/Center
13	261QX0100X	Occupational Medicine Clinic/Center
14	224Z00000X	Occupational Therapy Assistant
15	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	251E00000X	OTHER	TX	HOME HEALTH AGENCY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3747P1801X	OTHER	TX	PAS AGENCY

General Provider Information

NPI Number	:	1174677488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LALA HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1341 W MOCKINGBIRD LN STE 214W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-6913
Country	:	US
Telephone Number	:	214-310-0610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1341 W MOCKINGBIRD LN STE 214W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-6913
Country	:	US
Telephone Number	:	214-310-0610
Fax Number	:	866-740-7952

Authorized Official
Title or Position	:	CEO
Name	:	CHANTAL MICHELLE BUTLER
Credential	:	NURSE
Telephone Number	:	214-212-0068

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	03/06/2025

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