MEDICARE: DFW SENIOR HOME CARE INC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1447187406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DFW SENIOR HOME CARE INC

Provider Business Mailing Address
First Line	:	2101 KATHARINE ST
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-1558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 KATHARINE ST
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-1558
Country	:	US
Telephone Number	:	703-228-9115
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	RUQIA MANGAL
Credential	:
Telephone Number	:	703-228-9115

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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