Provider Demographics
NPI:1346535382
Name:BECCA HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:BECCA HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NSO-NYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-517-6321
Mailing Address - Street 1:2341 BECARD DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2998
Mailing Address - Country:US
Mailing Address - Phone:214-517-6321
Mailing Address - Fax:972-788-3201
Practice Address - Street 1:2341 BECARD DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2998
Practice Address - Country:US
Practice Address - Phone:214-517-6321
Practice Address - Fax:972-788-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health