# MYFAMILY HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1720516321
- **Authorized official:** LEO G DELA ROSA (ADMINISTRATOR)
- **Authorized official phone:** (832) 742-8621

## Contact information

- **Practice address:** 10707 CORPORATE DR STE 140, STAFFORD, TX 77477-4092
- **Practice address phone:** (832) 742-8621
- **Practice address fax:** (346) 240-3857
- **Mailing address:** 10707 CORPORATE DR STE 140, STAFFORD, TX 77477-4092
- **Mailing address phone:** (832) 742-8621
- **Mailing address fax:** (346) 240-3857

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2017
- **Last updated:** 11/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 018304 | TX DADS LICENSE | TX |
| 05 | — | 3790404 | — | TX |