# PARAMOUNT LEGACY HOMECARE LLC

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

## Provider details

- **NPI number:** 1700700796
- **Authorized official:** KIMBEREY CALLOWAY (CEO)
- **Authorized official phone:** (682) 312-4699

## Contact information

- **Practice address:** 4800 WELLESLEY AVE STE A, FORT WORTH, TX 76107-6149
- **Practice address phone:** (682) 312-4699
- **Practice address fax:** (972) 975-5061
- **Mailing address:** 3000 S HULEN ST \# 124361, FORT WORTH, TX 76109-1914
- **Mailing address phone:** (682) 312-4699
- **Mailing address fax:** (972) 975-5061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/05/2026
