Provider Demographics
NPI:1114360260
Name:HOME CARE ASSISTANCE OF DENTON CTY, TX, LLC
Entity Type:Organization
Organization Name:HOME CARE ASSISTANCE OF DENTON CTY, TX, LLC
Other - Org Name:HOME CARE ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:BRATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-821-1242
Mailing Address - Street 1:2570 FM 407 STE 125
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3094
Mailing Address - Country:US
Mailing Address - Phone:972-468-6010
Mailing Address - Fax:
Practice Address - Street 1:2570 FM 407 STE 125
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3094
Practice Address - Country:US
Practice Address - Phone:972-468-6010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care