MEDICARE: CLOSE-KNIT HOME HEALTH, 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	:	1285519363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOSE-KNIT HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	1305 FM 359 RD STE D
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-2024
Country	:	US
Telephone Number	:	832-712-5029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 FM 359 RD STE D
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-2024
Country	:	US
Telephone Number	:	832-712-5029
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANTELL HYPOLITE- LEANDRE
Credential	:
Telephone Number	:	832-712-5029

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	09/09/2025

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