MEDICARE: MASTERCARE HOMECARE INC

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
2	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	022448	OTHER	TX	TEXAS HEALTH & HUMAN SERVICES

General Provider Information

NPI Number	:	1639837933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASTERCARE HOMECARE INC

Provider Business Mailing Address
First Line	:	7920 BELT LINE RD STE 720
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-8181
Country	:	US
Telephone Number	:	972-777-4345
Fax Number	:	469-930-6430

Provider Business Practice Location Address
First Line	:	7920 BELT LINE RD STE 720
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-8181
Country	:	US
Telephone Number	:	972-777-4345
Fax Number	:	469-930-6430

Authorized Official
Title or Position	:	SPECIAL ASSISTANT TO CEO
Name	:	KATHY SHIELDS
Credential	:
Telephone Number	:	808-597-1564

Provider Enumeration Date	:	12/03/2021
Last Update Date	:	03/26/2026

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Directions to “MASTERCARE HOMECARE INC ” Practice Location

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