Texas HHSC regulated location/provider

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In-home-only regulated provider/location. This record identifies a regulated provider/location at the source grain.

Regulator: Texas Health and Human Services Commission (HHSC)
Provider class: In-home-only regulated provider/location
Texas HHSC Facility ID: 112142
TrustHub location identity: TX|HHSC|TX_DAHS_ISS_ONLY|112142
Recorded location: 11066 PECAN PARK BLVD #417, CEDAR PARK, TEXAS, 78613 · WILLIAMSON County
Facility Licensed, as reported: YES
Facility Certified, as reported: NO
License number: 313110
License effective date: 2026-06-04
License expiration date: 2026-12-01
Organization linkage: Not established
Source update date: 2026-09-29
Official source: Texas HHSC provider directory

Source status and license facts are reported separately. A license number is not a corporate identity or a CMS CCN.