Provider Demographics
NPI:1891767117
Name:MULTICARE HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:MULTICARE HEALTH CARE SERVICES INC
Other - Org Name:MULTICARE NURSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-437-2273
Mailing Address - Street 1:899 PRESIDENTIAL DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2953
Mailing Address - Country:US
Mailing Address - Phone:972-437-2273
Mailing Address - Fax:972-669-9701
Practice Address - Street 1:899 PRESIDENTIAL DR
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2953
Practice Address - Country:US
Practice Address - Phone:972-437-2273
Practice Address - Fax:972-669-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002318251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024662101Medicaid
TX024662101Medicaid