Provider Demographics
NPI:1598277741
Name:EEM ENTERPRISES, INC.
Entity Type:Organization
Organization Name:EEM ENTERPRISES, INC.
Other - Org Name:FORT WORTH HOME CARE ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MCDOWELL
Authorized Official - Last Name:FREDERICK
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:817-929-5775
Mailing Address - Street 1:1007 MESQUITE DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3211
Mailing Address - Country:US
Mailing Address - Phone:817-929-5775
Mailing Address - Fax:
Practice Address - Street 1:4628 SW LOOP 820
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4400
Practice Address - Country:US
Practice Address - Phone:817-929-5775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health