MEDICARE: LYFCARE HOMES

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1780483701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYFCARE HOMES

Provider Business Mailing Address
First Line	:	3002 HARMON RD
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-4476
Country	:	US
Telephone Number	:	469-279-9085
Fax Number	:	469-279-9085

Provider Business Practice Location Address
First Line	:	3002 HARMON RD
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-4476
Country	:	US
Telephone Number	:	469-279-9085
Fax Number	:	469-279-9085

Authorized Official
Title or Position	:	MANAGER
Name	:	LATIFAT ATANDA
Credential	:
Telephone Number	:	469-279-9085

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/09/2026

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Directions to “LYFCARE HOMES ” Practice Location

Language	Start Address	Practice Location

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