Provider Demographics
NPI:1033540612
Name:MELCARE HOME HEALTH AND SPORT CARE
Entity Type:Organization
Organization Name:MELCARE HOME HEALTH AND SPORT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KRIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAEWCHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-225-2286
Mailing Address - Street 1:4020 N MACARTHUR BLVD
Mailing Address - Street 2:STE #122-194
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-6419
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4020 N MACARTHUR BLVD
Practice Address - Street 2:STE #122-194
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6419
Practice Address - Country:US
Practice Address - Phone:855-225-2286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No283X00000XHospitalsRehabilitation Hospital