MEDICARE: A&A ADVANTAGE CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1306154992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&A ADVANTAGE CARE LLC

Provider Business Mailing Address
First Line	:	1321 UPLAND DR STE 22472
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4718
Country	:	US
Telephone Number	:	402-933-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	6421 CAMP BOWIE BLVD STE 202
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5401
Country	:	US
Telephone Number	:	682-385-9133
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MASON MORGAN
Credential	:
Telephone Number	:	972-989-9439

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	03/12/2026

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