MEDICARE: PURPOSE OF LIFE HOMECARE

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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740131648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSE OF LIFE HOMECARE

Provider Business Mailing Address
First Line	:	PO BOX 330331
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76163-0331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6809 MCCART AVE STE 105
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-6302
Country	:	US
Telephone Number	:	800-375-1066
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	DEONDRALIQUE GREENE
Credential	:
Telephone Number	:	817-404-6150

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	05/06/2026

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Directions to “PURPOSE OF LIFE HOMECARE ” Practice Location

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