Provider Demographics
NPI:1821764101
Name:AMERICARE NORTH DALLAS LLC
Entity Type:Organization
Organization Name:AMERICARE NORTH DALLAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:A WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-237-4065
Mailing Address - Street 1:4925 GREENVILLE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-0500
Mailing Address - Country:US
Mailing Address - Phone:214-237-4065
Mailing Address - Fax:
Practice Address - Street 1:4925 GREENVILLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-0500
Practice Address - Country:US
Practice Address - Phone:214-237-4065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care