Provider Demographics
NPI:1063867232
Name:NATECARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:NATECARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FILEX
Authorized Official - Middle Name:
Authorized Official - Last Name:INYANZA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:888-382-3751
Mailing Address - Street 1:9319 LBJ FWY
Mailing Address - Street 2:SUITE 116
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9319 LBJ FWY
Practice Address - Street 2:SUITE 116
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3450
Practice Address - Country:US
Practice Address - Phone:972-807-9042
Practice Address - Fax:888-382-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle