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NPI Code Detail

MEDICARE: CONNECT HOME HEALTH LLC

MEDICARE: CONNECT HOME HEALTH 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
1251J00000XNursing Care Agency
2251S00000XCommunity/Behavioral Health Agency
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1902601594
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECT HOME HEALTH LLC
Provider Business Mailing Address
First Line : 7929 BROOKRIVER DR STE 770
Second Line :
City : DALLAS
State : TX
Zip : 75247-4900
Country : US
Telephone Number : 214-838-7975
Fax Number :
Provider Business Practice Location Address
First Line : 7929 BROOKRIVER DR STE 770
Second Line :
City : DALLAS
State : TX
Zip : 75247-4900
Country : US
Telephone Number : 214-838-7975
Fax Number :
Authorized Official
Title or Position : CEO
Name : EZRA KUENZI
Credential :
Telephone Number : 817-247-5057
Provider Enumeration Date : 02/17/2025
Last Update Date : 02/17/2025

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Directions to “CONNECT HOME HEALTH LLC ” Practice Location

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