MEDICARE: CARE LITE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1184321754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE LITE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2310 GREEN MERE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6770
Country	:	US
Telephone Number	:	817-484-6961
Fax Number	:	817-678-0077

Provider Business Practice Location Address
First Line	:	2310 GREEN MERE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6770
Country	:	US
Telephone Number	:	817-484-6961
Fax Number	:	817-678-0077

Authorized Official
Title or Position	:	CONSULTANT
Name	:	ELLEN CLINTON
Credential	:
Telephone Number	:	817-903-7600

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	02/14/2023

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