Provider Demographics
NPI:1922173384
Name:BAILER HOME CARE
Entity Type:Organization
Organization Name:BAILER HOME CARE
Other - Org Name:EUGENE FISHER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN,OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-376-7006
Mailing Address - Street 1:400 E CENTRE PARK BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8802
Mailing Address - Country:US
Mailing Address - Phone:214-376-7006
Mailing Address - Fax:214-376-1844
Practice Address - Street 1:400 E CENTRE PARK BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8802
Practice Address - Country:US
Practice Address - Phone:214-376-7006
Practice Address - Fax:214-376-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008496251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677939Medicare Oscar/Certification