Provider Demographics
NPI:1164778965
Name:SPYGLASS HOME SERVICES, LLC
Entity Type:Organization
Organization Name:SPYGLASS HOME SERVICES, LLC
Other - Org Name:HOME HELPERS AND DIRECT LINK #58658
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-925-4222
Mailing Address - Street 1:8709 STONEBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2537
Mailing Address - Country:US
Mailing Address - Phone:817-925-4222
Mailing Address - Fax:817-263-9751
Practice Address - Street 1:8709 STONEBRIAR LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2537
Practice Address - Country:US
Practice Address - Phone:817-925-4222
Practice Address - Fax:817-263-9751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health