MEDICARE: TEXAS HILL COUNTRY HOME CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1568232429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HILL COUNTRY HOME CARE LLC

Provider Business Mailing Address
First Line	:	24719 CREEK LOOP
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78266-2917
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24719 CREEK LOOP
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78266-2917
Country	:	US
Telephone Number	:	210-213-7191
Fax Number	:

Authorized Official
Title or Position	:	FRANCHISE OWNER
Name	:	BETTINA T MCGRIGGLER
Credential	:
Telephone Number	:	210-213-7191

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

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