Provider Demographics
NPI:1922381888
Name:THE HAWKES CORPORATION
Entity Type:Organization
Organization Name:THE HAWKES CORPORATION
Other - Org Name:FIRSTLIGHT HOMECARE OF NORTH DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-897-0016
Mailing Address - Street 1:3505 BARBERRY DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-8559
Mailing Address - Country:US
Mailing Address - Phone:972-897-0016
Mailing Address - Fax:
Practice Address - Street 1:3505 BARBERRY DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-8559
Practice Address - Country:US
Practice Address - Phone:972-897-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health