Provider Demographics
NPI:1073684510
Name:HOME CARE NETWORK MID-CITIES
Entity Type:Organization
Organization Name:HOME CARE NETWORK MID-CITIES
Other - Org Name:HOME CARE NETWORK MID-CITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-270-2000
Mailing Address - Street 1:3939 US HIGHWAY 80 E
Mailing Address - Street 2:SUIE 458A-2
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3359
Mailing Address - Country:US
Mailing Address - Phone:972-270-2000
Mailing Address - Fax:972-270-0062
Practice Address - Street 1:3939 US HIGHWAY 80 E
Practice Address - Street 2:SUIE 458A-2
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3359
Practice Address - Country:US
Practice Address - Phone:972-270-2000
Practice Address - Fax:972-270-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health