Provider Demographics
NPI:1033235254
Name:ROBERT THOMAS FOSTER ADULT HOME CARE
Entity Type:Organization
Organization Name:ROBERT THOMAS FOSTER ADULT HOME CARE
Other - Org Name:ROBERT THOMAS FOSTER ADULT HOME CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOSTER ADULT HOME CARE PROVIDER OWN
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:SR
Authorized Official - Credentials:AFC FOSTER PROVIDER
Authorized Official - Phone:325-672-6361
Mailing Address - Street 1:3957 E US HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-6428
Mailing Address - Country:US
Mailing Address - Phone:325-672-6361
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:3957 E US HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-6428
Practice Address - Country:US
Practice Address - Phone:325-672-6361
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102020310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility