Provider Demographics
NPI:1073230223
Name:TWIN EAGLE HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:TWIN EAGLE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:QATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-566-1628
Mailing Address - Street 1:3535 FIREWHEEL DR STE A150
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2628
Mailing Address - Country:US
Mailing Address - Phone:469-390-9300
Mailing Address - Fax:
Practice Address - Street 1:3535 FIREWHEEL DR STE A150
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2628
Practice Address - Country:US
Practice Address - Phone:469-390-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty