MEDICARE: A FAMILY AFFAIR HOME HEALTHCARE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1790636090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A FAMILY AFFAIR HOME HEALTHCARE LLC.

Provider Business Mailing Address
First Line	:	PO BOX 543174
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-3174
Country	:	US
Telephone Number	:	214-778-7228
Fax Number	:	214-377-5009

Provider Business Practice Location Address
First Line	:	1229 E PLEASANT RUN RD STE 312
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-4209
Country	:	US
Telephone Number	:	214-778-7228
Fax Number	:	214-377-5009

Authorized Official
Title or Position	:	OWNER ADMINISTRATOR
Name	:	TONI MARTIN-MOORE
Credential	:
Telephone Number	:	214-778-7228

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	05/08/2026

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