Provider Demographics
NPI:1629034491
Name:ALL CARE PROFESSIONAL HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ALL CARE PROFESSIONAL HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-457-2688
Mailing Address - Street 1:4275 LITTLE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5617
Mailing Address - Country:US
Mailing Address - Phone:817-457-2688
Mailing Address - Fax:817-457-2689
Practice Address - Street 1:4275 LITTLE RD STE 106
Practice Address - Street 2:STE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5617
Practice Address - Country:US
Practice Address - Phone:817-457-2688
Practice Address - Fax:817-457-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009718251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457994Medicare ID - Type UnspecifiedCERTIFIED HOME HEALTH