MEDICARE: THREE OF A KIND, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1790945244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE OF A KIND, LLC

Provider Business Mailing Address
First Line	:	6760 OLD JACKSONVILLE HWY
Second Line	:	SUITE 101
City	:	TYLER
State	:	TX
Zip	:	75703-0572
Country	:	US
Telephone Number	:	855-485-8273
Fax Number	:	888-333-8977

Provider Business Practice Location Address
First Line	:	1452 HUGHES RD STE 100B
Second Line	:
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-7366
Country	:	US
Telephone Number	:	844-310-0056
Fax Number	:	888-556-2547

Authorized Official
Title or Position	:	CHIEF GROWTH OFFICER
Name	:	KATRINA DAWN LANIER
Credential	:
Telephone Number	:	855-485-8273

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	12/31/2025

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Directions to “THREE OF A KIND, LLC ” Practice Location

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