Provider Demographics
NPI:1346493442
Name:BAYLORE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:BAYLORE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TEODOLFO
Authorized Official - Middle Name:F
Authorized Official - Last Name:DINO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-797-7056
Mailing Address - Street 1:704 BROOKWATER DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5582
Mailing Address - Country:US
Mailing Address - Phone:972-540-1984
Mailing Address - Fax:972-369-1588
Practice Address - Street 1:704 BROOKWATER DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5582
Practice Address - Country:US
Practice Address - Phone:972-540-1984
Practice Address - Fax:972-369-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health