# 316 PEDIATRIC HOME HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629691548
- **Authorized official:** MICHELLE MAXFIELD (PRESIDENT)
- **Authorized official phone:** (817) 366-3793

## Contact information

- **Practice address:** 208 N MAIN ST STE 130, WEATHERFORD, TX 76086-3267
- **Practice address phone:** (817) 761-7337
- **Mailing address:** 208 N MAIN ST STE 130, WEATHERFORD, TX 76086-3267
- **Mailing address phone:** (817) 761-7337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2020
- **Last updated:** 01/20/2021