Provider Demographics
NPI:1447427125
Name:IZEN HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:IZEN HEALTHCARE SERVICES INC.
Other - Org Name:AMCARE PRO HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:INSIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-987-2100
Mailing Address - Street 1:1143 ROCKINGHAM DR STE 107
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4327
Mailing Address - Country:US
Mailing Address - Phone:214-987-2100
Mailing Address - Fax:214-987-2104
Practice Address - Street 1:1143 ROCKINGHAM DR STE 107
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4327
Practice Address - Country:US
Practice Address - Phone:214-987-2100
Practice Address - Fax:214-987-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747770Medicare Oscar/Certification