Provider Demographics
NPI:1578532057
Name:BEST CARE HOME HEALTH
Entity Type:Organization
Organization Name:BEST CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-793-0282
Mailing Address - Street 1:2605 TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4175
Mailing Address - Country:US
Mailing Address - Phone:903-793-0282
Mailing Address - Fax:903-793-2586
Practice Address - Street 1:2605 TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4175
Practice Address - Country:US
Practice Address - Phone:903-793-0282
Practice Address - Fax:903-793-2586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004107251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677439Medicare Oscar/Certification
TX67-7439Medicare PIN