Provider Demographics
NPI:1598983074
Name:THERAPY 2000
Entity Type:Organization
Organization Name:THERAPY 2000
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DEN BENT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-467-9787
Mailing Address - Street 1:831 LONGHORN HOLW
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8353
Mailing Address - Country:US
Mailing Address - Phone:817-749-2119
Mailing Address - Fax:
Practice Address - Street 1:2535 LONE STAR DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-6313
Practice Address - Country:US
Practice Address - Phone:214-467-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19554251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health