Provider Demographics
NPI:1417956178
Name:VIRTUAL HOME CARE INC.
Entity Type:Organization
Organization Name:VIRTUAL HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-758-0900
Mailing Address - Street 1:2601 GUS THOMASSON RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4028
Mailing Address - Country:US
Mailing Address - Phone:214-758-0900
Mailing Address - Fax:214-758-0090
Practice Address - Street 1:2601 GUS THOMASSON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4028
Practice Address - Country:US
Practice Address - Phone:214-758-0900
Practice Address - Fax:214-758-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009212251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150183501Medicaid
TX679095Medicare ID - Type Unspecified