Provider Demographics
NPI:1275974982
Name:BETTYES HOME CARE
Entity Type:Organization
Organization Name:BETTYES HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:LASHELLE
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-322-2162
Mailing Address - Street 1:400 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-7202
Mailing Address - Country:US
Mailing Address - Phone:972-322-2162
Mailing Address - Fax:817-200-6041
Practice Address - Street 1:400 N EAST ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-7202
Practice Address - Country:US
Practice Address - Phone:972-322-2162
Practice Address - Fax:817-200-6041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTYES HEALTHCARE NETWORK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-10
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health