MEDICARE: HTC 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	:	1215776943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HTC HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	3608 COLDSTREAM DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-1256
Country	:	US
Telephone Number	:	248-590-5045
Fax Number	:	972-666-0507

Provider Business Practice Location Address
First Line	:	3608 COLDSTREAM DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-1256
Country	:	US
Telephone Number	:	956-971-0088
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	MR. MRUGESHKUMAR ASHVINBHAI SONI
Credential	:
Telephone Number	:	248-590-5045

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	08/08/2025

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