Delia H Breedlove
Individual provider Active NPI Home Health Aide · Lancaster, TX
NPI 1124822804 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1124822804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- NA08731255 (TX)
- Practice address
- 1443 Carsen Way
Lancaster, TX 75146-4927 - Phone
- (214) 413-9056
- NPI assigned
- Apr 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA08731255 | TX | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NA08731255 | TX | Yes |
Addresses
Primary practice location
1443 Carsen Way
Lancaster, TX 75146-4927
Mailing address
1443 Carsen Way
Lancaster, TX 75146-4927
Phone (214) 413-9056
Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.