Provider Demographics
NPI:1639103815
Name:CADOR HOME HEALTH SERVICES INCORPORATION
Entity Type:Organization
Organization Name:CADOR HOME HEALTH SERVICES INCORPORATION
Other - Org Name:CADOR HOME HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:H
Authorized Official - Last Name:EFFANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-553-5100
Mailing Address - Street 1:9696 SKILLMAN ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8264
Mailing Address - Country:US
Mailing Address - Phone:214-553-5100
Mailing Address - Fax:214-553-5105
Practice Address - Street 1:9696 SKILLMAN STREET
Practice Address - Street 2:SUITE 180
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4796
Practice Address - Country:US
Practice Address - Phone:214-553-5100
Practice Address - Fax:214-553-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008007251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679240Medicare ID - Type UnspecifiedHOME HEALTH AGENCY