Provider Demographics
NPI:1811226319
Name:TEXAS SENIOR CARE, LP
Entity Type:Organization
Organization Name:TEXAS SENIOR CARE, LP
Other - Org Name:ENCOMPASS HOME HEALTH OF NORTHEAST TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-239-6500
Mailing Address - Street 1:6688 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3914
Mailing Address - Country:US
Mailing Address - Phone:214-239-6500
Mailing Address - Fax:214-239-6581
Practice Address - Street 1:100 MEMORIAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-2073
Practice Address - Country:US
Practice Address - Phone:903-416-5500
Practice Address - Fax:903-416-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011367251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457655Medicare Oscar/Certification