Provider Demographics
NPI:1568518306
Name:BESTCARE HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:BESTCARE HEALTH SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-692-9824
Mailing Address - Street 1:1408 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-3105
Mailing Address - Country:US
Mailing Address - Phone:940-692-9824
Mailing Address - Fax:940-692-4163
Practice Address - Street 1:1408 8TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-3105
Practice Address - Country:US
Practice Address - Phone:940-692-9824
Practice Address - Fax:940-692-4163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679231Medicare ID - Type Unspecified