MEDICARE: CARE AT HOME PARTNERS, 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1710821707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AT HOME PARTNERS, LLC

Provider Business Mailing Address
First Line	:	1175 FM 2673 STE 120
Second Line	:
City	:	CANYON LAKE
State	:	TX
Zip	:	78133-4514
Country	:	US
Telephone Number	:	830-264-7769
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 FM 2673 STE 120
Second Line	:
City	:	CANYON LAKE
State	:	TX
Zip	:	78133-4514
Country	:	US
Telephone Number	:	830-264-7769
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LANDON ROUSSEL
Credential	:	MD
Telephone Number	:	206-786-5171

Provider Enumeration Date	:	04/18/2026
Last Update Date	:	04/18/2026

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