Provider Demographics
NPI:1821011230
Name:MHS-MISSIONCARE HEALTH SERVICES LNC
Entity Type:Organization
Organization Name:MHS-MISSIONCARE HEALTH SERVICES LNC
Other - Org Name:MISSIONCARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:214-321-7600
Mailing Address - Street 1:8035 E R L THORNTON FWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-321-7600
Mailing Address - Fax:214-321-7603
Practice Address - Street 1:8035 E R L THORNTON FWY
Practice Address - Street 2:SUITE 310
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-321-7600
Practice Address - Fax:214-321-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010587251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673194Medicare ID - Type Unspecified