MEDICARE: PYRAMID HOME HEALTH, 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548207475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PYRAMID HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	517-768-4373
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	3165 MCKELVEY RD STE 203B
Second Line	:
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2550
Country	:	US
Telephone Number	:	800-381-5931
Fax Number	:	314-521-8407

Authorized Official
Title or Position	:	DIRLICENSE®ULATORYCOMPLIANCE
Name	:	ANGEL STANSBURY
Credential	:
Telephone Number	:	337-344-2141

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	01/28/2026

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