Provider Demographics
NPI:1275204984
Name:KING GEORGE'S HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:KING GEORGE'S HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:945-200-1777
Mailing Address - Street 1:1702 MYERS AVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5165
Mailing Address - Country:US
Mailing Address - Phone:945-200-1777
Mailing Address - Fax:945-800-2527
Practice Address - Street 1:1702 MYERS AVE
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5165
Practice Address - Country:US
Practice Address - Phone:945-200-1777
Practice Address - Fax:945-800-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care