MEDICARE: ABIDING HOME HEALTH OF DFW, 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	017486	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	679057	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	017486	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1811980139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABIDING HOME HEALTH OF DFW, LLC

Provider Business Mailing Address
First Line	:	6760 OLD JACKSONVILLE HWY STE 101
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0566
Country	:	US
Telephone Number	:	855-485-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	4851 S I 35 E STE 100
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76210-2348
Country	:	US
Telephone Number	:	940-758-7536
Fax Number	:	940-374-6158

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/31/2025

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