Provider Demographics
NPI:1568561132
Name:SENIOR CARE CONSULTANTS AT HOME, LTD
Entity Type:Organization
Organization Name:SENIOR CARE CONSULTANTS AT HOME, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF POST-ACUTE CARE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-878-2414
Mailing Address - Street 1:3880 HULEN ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7256
Mailing Address - Country:US
Mailing Address - Phone:817-878-2414
Mailing Address - Fax:817-878-4303
Practice Address - Street 1:3880 HULEN
Practice Address - Street 2:SUITE 670
Practice Address - City:FT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107
Practice Address - Country:US
Practice Address - Phone:817-878-2414
Practice Address - Fax:817-878-4303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014875251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457976Medicare Oscar/Certification