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NPI Code Detail

MEDICARE: KASBA TWENTY-FOUR

MEDICARE: KASBA TWENTY-FOUR
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1982551198
Entity Type Code : Organization
Provider Name (Legal Business Name) : KASBA TWENTY-FOUR
Provider Business Mailing Address
First Line : 15813 BARTON RIDGE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1619
Country : US
Telephone Number : 469-964-9903
Fax Number :
Provider Business Practice Location Address
First Line : 15813 BARTON RIDGE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1619
Country : US
Telephone Number : 469-964-9903
Fax Number :
Authorized Official
Title or Position : PRINCIPAL OWNER
Name : JEROME E LEWIS
Credential : MBA
Telephone Number : 469-964-9903
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “KASBA TWENTY-FOUR ” Practice Location

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