Provider Demographics
NPI:1689021883
Name:PBHS HOME HEALTH DFW I, INC
Entity Type:Organization
Organization Name:PBHS HOME HEALTH DFW I, INC
Other - Org Name:RESTORE WELLNESS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-256-6661
Mailing Address - Street 1:6974 WAVERLY LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7791
Mailing Address - Country:US
Mailing Address - Phone:469-256-6661
Mailing Address - Fax:866-636-4067
Practice Address - Street 1:6974 WAVERLY LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7791
Practice Address - Country:US
Practice Address - Phone:469-256-6661
Practice Address - Fax:866-636-4067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health