Provider Demographics
NPI:1689820862
Name:LINCA HOME HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:LINCA HOME HEALTH SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLEMENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-226-4000
Mailing Address - Street 1:615 W MAIN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-1056
Mailing Address - Country:US
Mailing Address - Phone:817-220-4000
Mailing Address - Fax:817-226-4002
Practice Address - Street 1:615 W MAIN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-1056
Practice Address - Country:US
Practice Address - Phone:817-220-4000
Practice Address - Fax:817-226-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011867251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457982Medicare Oscar/Certification