Provider Demographics
NPI:1376968362
Name:SOUTHWEST PERSONAL ASSISTANCE SERVICES LLC
Entity Type:Organization
Organization Name:SOUTHWEST PERSONAL ASSISTANCE SERVICES LLC
Other - Org Name:SOUTHWEST PERSONAL ASSISTANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-523-1429
Mailing Address - Street 1:1229 E PLEASANT RUN RD STE 329
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4209
Mailing Address - Country:US
Mailing Address - Phone:214-258-5908
Mailing Address - Fax:972-201-9003
Practice Address - Street 1:1229 E. PLEASANT RUN RD STE. 329
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3528
Practice Address - Country:US
Practice Address - Phone:214-258-5908
Practice Address - Fax:972-201-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016383251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health