Provider Demographics
NPI:1417633074
Name:SWART CARE 451 LLC
Entity Type:Organization
Organization Name:SWART CARE 451 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GERHARDUS CORNELIUS
Authorized Official - Last Name:SWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-429-7154
Mailing Address - Street 1:4833 BRYANT IRVIN CT STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7683
Mailing Address - Country:US
Mailing Address - Phone:719-429-7154
Mailing Address - Fax:
Practice Address - Street 1:4833 BRYANT IRVIN CT STE 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7683
Practice Address - Country:US
Practice Address - Phone:719-429-7154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care