Provider Demographics
NPI:1053501528
Name:ALL-AGES HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ALL-AGES HOME HEALTH CARE, LLC
Other - Org Name:MISSION CARE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAJUVI
Authorized Official - Middle Name:CARAG
Authorized Official - Last Name:FRANCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-785-2491
Mailing Address - Street 1:1201 N WATSON RD STE 280
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6222
Mailing Address - Country:US
Mailing Address - Phone:214-785-2491
Mailing Address - Fax:214-785-2492
Practice Address - Street 1:1201 N WATSON RD STE 280
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6222
Practice Address - Country:US
Practice Address - Phone:214-785-2491
Practice Address - Fax:214-785-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016786251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747578OtherMEDICARE