Provider Demographics
NPI:1598990608
Name:MORA'S HOME CARE, INC.
Entity Type:Organization
Organization Name:MORA'S HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HALIMA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:972-658-6756
Mailing Address - Street 1:3228 SOUTHERN DR STE 203C
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1579
Mailing Address - Country:US
Mailing Address - Phone:972-658-6756
Mailing Address - Fax:972-479-8860
Practice Address - Street 1:3228 SOUTHERN DR
Practice Address - Street 2:203-C
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1579
Practice Address - Country:US
Practice Address - Phone:972-658-6756
Practice Address - Fax:972-479-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012847251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1598990608Medicaid