MEDICARE: MAXUS HEALTHCARE PARTNERS 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	251E00000X	Home Health Agency	16260	TX

General Provider Information

NPI Number	:	1184068033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXUS HEALTHCARE PARTNERS LLC

Provider Business Mailing Address
First Line	:	1021 WASHINGTON AVE STE 202
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3021
Country	:	US
Telephone Number	:	866-841-3044
Fax Number	:	866-720-6748

Provider Business Practice Location Address
First Line	:	3305 S MAYHILL RD STE 125
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6055
Country	:	US
Telephone Number	:	940-243-9812
Fax Number	:	940-243-9817

Authorized Official
Title or Position	:	DIRECTOR OF QM/COMPLIANCE
Name	:	MS. PENNY RIVERA
Credential	:	RN
Telephone Number	:	817-921-6400

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	06/29/2023

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Directions to “MAXUS HEALTHCARE PARTNERS LLC ” Practice Location

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