Provider Demographics
NPI:1700013588
Name:A DOSE OF CARE HOME HEALTH INC.
Entity Type:Organization
Organization Name:A DOSE OF CARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMOND GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:361-396-4208
Mailing Address - Street 1:1481 S FLOURNOY RD UNIT 125
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4276
Mailing Address - Country:US
Mailing Address - Phone:361-396-4208
Mailing Address - Fax:361-396-4228
Practice Address - Street 1:1481 S FLOURNOY RD UNIT 125
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4276
Practice Address - Country:US
Practice Address - Phone:361-396-4208
Practice Address - Fax:361-396-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747939Medicare PIN