Provider Demographics
NPI:1508862319
Name:HOMECARE DIMENSIONS, INC.
Entity Type:Organization
Organization Name:HOMECARE DIMENSIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/ASSISTANT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-617-4741
Mailing Address - Street 1:19500 IH -10W
Mailing Address - Street 2:BLDG. 2, #2-3103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257
Mailing Address - Country:US
Mailing Address - Phone:210-696-2626
Mailing Address - Fax:
Practice Address - Street 1:19500 IH-10W
Practice Address - Street 2:BLDG. 2, #2-3103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257
Practice Address - Country:US
Practice Address - Phone:210-696-2626
Practice Address - Fax:210-696-9987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008178251E00000X, 251E00000X, 251E00000X
TX0028758332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013353002Medicaid
TX0133530-01Medicaid
TX1085870001Medicare NSC