Provider Demographics
NPI:1477061729
Name:SYLVAN MEADOWS COMMUNITY SERVICES
Entity Type:Organization
Organization Name:SYLVAN MEADOWS COMMUNITY SERVICES
Other - Org Name:SYLVAN MEADOWS HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-845-8383
Mailing Address - Street 1:746 E PIPELINE RD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-6011
Mailing Address - Country:US
Mailing Address - Phone:817-845-8383
Mailing Address - Fax:817-284-4000
Practice Address - Street 1:746 E PIPELINE RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-6011
Practice Address - Country:US
Practice Address - Phone:817-845-8383
Practice Address - Fax:817-284-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018380253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care