MEDICARE: PRUCARE HOME HEALTH AGENCY, PLLC

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

General Provider Information

NPI Number	:	1568608537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRUCARE HOME HEALTH AGENCY, PLLC

Provider Business Mailing Address
First Line	:	1951 N JUPITER RD
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2177
Country	:	US
Telephone Number	:	469-444-7269
Fax Number	:	214-935-9312

Provider Business Practice Location Address
First Line	:	1951 N JUPITER RD
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2177
Country	:	US
Telephone Number	:	469-444-7269
Fax Number	:	214-935-9312

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	VAISHALI PATEL
Credential	:	RN. BSN
Telephone Number	:	469-444-7269

Provider Enumeration Date	:	12/22/2008
Last Update Date	:	04/03/2025

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