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NPI Code Detail

MEDICARE: TRC HOME HEALTH SERVICES, LLC

MEDICARE: TRC HOME HEALTH SERVICES, 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
1164X00000XLicensed Vocational Nurse
2225X00000XOccupational Therapist
3163WH0200XHome Health Registered Nurse
4224Z00000XOccupational Therapy Assistant
5225100000XPhysical Therapist
6235Z00000XSpeech-Language Pathologist
7225200000XPhysical Therapy Assistant
81041C0700XClinical Social Worker
9261QA1903XAmbulatory Surgical Clinic/Center
10251E00000XHome Health Agency014495TX

General Provider Information

NPI Number : 1568446185
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRC HOME HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 4849 GREENVILLE AVE
Second Line : 1124
City : DALLAS
State : TX
Zip : 75206-4130
Country : US
Telephone Number : 214-965-0431
Fax Number : 214-965-0434
Provider Business Practice Location Address
First Line : 4849 GREENVILLE AVE
Second Line : 1124
City : DALLAS
State : TX
Zip : 75206-4130
Country : US
Telephone Number : 214-965-0431
Fax Number : 214-965-0434
Authorized Official
Title or Position : ADMINISTRATOR
Name : MELISSA RODRIGUEZ
Credential :
Telephone Number : 888-965-0431
Provider Enumeration Date : 12/06/2005
Last Update Date : 09/10/2025

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Directions to “TRC HOME HEALTH SERVICES, LLC ” Practice Location

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