Provider Demographics
NPI:1508977638
Name:RESTORATIVE HOME CARE & CASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:RESTORATIVE HOME CARE & CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONNIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH, RN
Authorized Official - Phone:214-476-7399
Mailing Address - Street 1:5416 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-5120
Mailing Address - Country:US
Mailing Address - Phone:214-476-7399
Mailing Address - Fax:314-856-1554
Practice Address - Street 1:503 S GOLIAD ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4021
Practice Address - Country:US
Practice Address - Phone:214-476-7399
Practice Address - Fax:314-856-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health