Provider Demographics
NPI:1497784656
Name:FLORIC HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:FLORIC HEALTH CARE SERVICES, INC.
Other - Org Name:FLORIC HOME HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:B
Authorized Official - Last Name:AGHEDO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:817-987-6220
Mailing Address - Street 1:6915 THUNDERBIRD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3462
Mailing Address - Country:US
Mailing Address - Phone:817-987-6220
Mailing Address - Fax:
Practice Address - Street 1:6915 THUNDERBIRD DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3462
Practice Address - Country:US
Practice Address - Phone:817-987-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009590251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457979Medicare ID - Type UnspecifiedPROVIDER NUMBER