Provider Demographics
NPI:1225267271
Name:CONNECTCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:CONNECTCARE SOLUTIONS LLC
Other - Org Name:CONNECTCARE THERAPY FOR KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:REISWIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-630-6356
Mailing Address - Street 1:4300 SIGMA RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4445
Mailing Address - Country:US
Mailing Address - Phone:972-756-0500
Mailing Address - Fax:972-756-0448
Practice Address - Street 1:12708 RIATA VISTA CIR STE 106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-7167
Practice Address - Country:US
Practice Address - Phone:512-493-9700
Practice Address - Fax:512-493-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1225267271Medicaid