Provider Demographics
NPI:1841588043
Name:CONNECTED BY DESIGN
Entity Type:Organization
Organization Name:CONNECTED BY DESIGN
Other - Org Name:BY DESIGN HOMECARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-654-7500
Mailing Address - Street 1:2379 NE LOOP 410 STE 117
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5642
Mailing Address - Country:US
Mailing Address - Phone:210-654-7500
Mailing Address - Fax:210-654-7506
Practice Address - Street 1:2379 NE LOOP 410 STE 117
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5642
Practice Address - Country:US
Practice Address - Phone:210-654-7500
Practice Address - Fax:210-654-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010938251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health