MEDICARE: AIDANCE HOME CARE 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
1	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1588525232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDANCE HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	4004 LONE ROCK LN
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-1010
Country	:	US
Telephone Number	:	214-789-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	4004 LONE ROCK LN
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-1010
Country	:	US
Telephone Number	:	214-789-6530
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHADERICA HARRIS
Credential	:
Telephone Number	:	214-789-6530

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	06/04/2026

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