Provider Demographics
NPI:1235253386
Name:ELDERKIDCARE INC.
Entity Type:Organization
Organization Name:ELDERKIDCARE INC.
Other - Org Name:HOME CAREGIVERS OF TX INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-432-2575
Mailing Address - Street 1:1700 ALMA DR
Mailing Address - Street 2:SUITE 242
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6937
Mailing Address - Country:US
Mailing Address - Phone:214-432-2575
Mailing Address - Fax:214-432-2627
Practice Address - Street 1:1700 ALMA DR
Practice Address - Street 2:STE 242
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6937
Practice Address - Country:US
Practice Address - Phone:214-432-2575
Practice Address - Fax:972-422-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0106653747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty