Provider Demographics
NPI:1134498561
Name:SPEARS HOUSE OF CARE
Entity Type:Organization
Organization Name:SPEARS HOUSE OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIQUITA
Authorized Official - Middle Name:DENEEN
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-815-7632
Mailing Address - Street 1:1501 TANGLEROSE CT
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7843
Mailing Address - Country:US
Mailing Address - Phone:214-815-7632
Mailing Address - Fax:972-224-5747
Practice Address - Street 1:734 SEABEACH RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-4845
Practice Address - Country:US
Practice Address - Phone:214-815-7632
Practice Address - Fax:972-224-5747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness