Organization
TROPHY HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN KANAMUGIRE (DIRECTOR)
(682) 559-8523
Entity
Organization
Contact information
Practice address
14548 FROG LAKE DR, ROANOKE, TX 76262-2167
(682) 559-8523
(817) 500-4289
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(682) 559-8523
(817) 500-4289
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
311Z00000X
Custodial Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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