MEDICARE: WATTS GROUP HOLDINGS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251X00000X	Supports Brokerage Agency
2	253Z00000X	In Home Supportive Care Agency
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1205781135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATTS GROUP HOLDINGS LLC

Provider Business Mailing Address
First Line	:	785 W WHEATLAND RD STE 454
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-4520
Country	:	US
Telephone Number	:	972-900-7987
Fax Number	:

Provider Business Practice Location Address
First Line	:	1912 S 22ND STREET
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76706-6312
Country	:	US
Telephone Number	:	972-900-7987
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MATTHEW WATTS
Credential	:
Telephone Number	:	972-900-7987

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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