Provider Demographics
NPI:1568084036
Name:RELEVANT CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:RELEVANT CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILLAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:NCUBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-223-1001
Mailing Address - Street 1:433 LAKE HIGHLAND DR APT B
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-3711
Mailing Address - Country:US
Mailing Address - Phone:253-445-2420
Mailing Address - Fax:
Practice Address - Street 1:433 LAKE HIGHLAND DR APT B
Practice Address - Street 2:
Practice Address - City:LAKE DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75065-3711
Practice Address - Country:US
Practice Address - Phone:253-445-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health