MEDICARE: JUDITH JOHNSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	376J00000X	Homemaker
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1285100024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUDITH JOHNSON

Provider Business Mailing Address
First Line	:	2828 FOREST LN STE 1102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7500
Country	:	US
Telephone Number	:	214-629-2815
Fax Number	:	888-205-0443

Provider Business Practice Location Address
First Line	:	2828 FOREST LN STE 1102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7500
Country	:	US
Telephone Number	:	469-522-7802
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JUDITH JOHNSON
Credential	:
Telephone Number	:	214-629-2815

Provider Enumeration Date	:	10/19/2018
Last Update Date	:	01/05/2026

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Directions to “JUDITH JOHNSON ” Practice Location

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