MEDICARE: PROCARE MOBILITY 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	332BD1200X	Dialysis Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1922969534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCARE MOBILITY LLC

Provider Business Mailing Address
First Line	:	3218 FANNIN RD # 1050
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2207
Country	:	US
Telephone Number	:	903-294-4251
Fax Number	:	636-707-9417

Provider Business Practice Location Address
First Line	:	3218 FANNIN RD
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2207
Country	:	US
Telephone Number	:	903-294-4251
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAELYNN NECHELLE MCKEE
Credential	:
Telephone Number	:	903-294-4251

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	02/04/2026

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