Provider Demographics
NPI:1083373500
Name:COLLIN COUNTY CAREGIVING, LLC
Entity Type:Organization
Organization Name:COLLIN COUNTY CAREGIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-818-6381
Mailing Address - Street 1:442 WHISPERING WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2263
Mailing Address - Country:US
Mailing Address - Phone:469-818-6381
Mailing Address - Fax:
Practice Address - Street 1:4500 ELDORADO PKWY STE 1500
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5758
Practice Address - Country:US
Practice Address - Phone:214-491-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care