Provider Demographics
NPI:1578734224
Name:CARING PALMS HEALTH CARE CENTER, INC
Entity Type:Organization
Organization Name:CARING PALMS HEALTH CARE CENTER, INC
Other - Org Name:CARING PALMS HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-992-2028
Mailing Address - Street 1:401 N CARROLL AVE # 157
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6407
Mailing Address - Country:US
Mailing Address - Phone:817-992-2028
Mailing Address - Fax:817-595-1950
Practice Address - Street 1:1415 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6549
Practice Address - Country:US
Practice Address - Phone:956-546-3714
Practice Address - Fax:956-546-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities