Provider Demographics
NPI: | 1164854337 |
---|---|
Name: | CANTEX HOME HEALTH BELLAIRE LLC |
Entity Type: | Organization |
Organization Name: | CANTEX HOME HEALTH BELLAIRE LLC |
Other - Org Name: | THERACARE HOME HEALTH |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ROBIN |
Authorized Official - Middle Name: | F |
Authorized Official - Last Name: | UNDERHILL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 214-954-4114 |
Mailing Address - Street 1: | 2537 GOLDEN BEAR DR |
Mailing Address - Street 2: | |
Mailing Address - City: | CARROLLTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75006-2377 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-954-4114 |
Mailing Address - Fax: | 214-871-3057 |
Practice Address - Street 1: | 4710 BELLAIRE BLVD |
Practice Address - Street 2: | SUITE 390 |
Practice Address - City: | BELLAIRE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77401-4526 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-954-4114 |
Practice Address - Fax: | 214-871-3057 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-07-30 |
Last Update Date: | 2013-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |