MEDICARE: ELOIS HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747A0650X	Attendant Care Provider
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629750716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELOIS HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	969 GOLD FINCH LN
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-2370
Country	:	US
Telephone Number	:	469-315-2343
Fax Number	:

Provider Business Practice Location Address
First Line	:	969 GOLD FINCH LN
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-2370
Country	:	US
Telephone Number	:	469-315-2343
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DERICK MOKECHI
Credential	:
Telephone Number	:	469-315-2343

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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Directions to “ELOIS HEALTH CARE LLC ” Practice Location

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