Provider Demographics
NPI:1619309853
Name:ALERT HOME CARE, LLC
Entity Type:Organization
Organization Name:ALERT HOME CARE, LLC
Other - Org Name:ASSISTING HANDS OF FORT WORTH WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BEVERIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-832-8693
Mailing Address - Street 1:8851 CAMP BOWIE WEST BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-6040
Mailing Address - Country:US
Mailing Address - Phone:817-803-3777
Mailing Address - Fax:817-803-3779
Practice Address - Street 1:8851 CAMP BOWIE WEST BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-6040
Practice Address - Country:US
Practice Address - Phone:817-803-3777
Practice Address - Fax:817-803-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care