Provider Demographics
NPI:1942209606
Name:HOME CARE NETWORK EAST, INC
Entity Type:Organization
Organization Name:HOME CARE NETWORK EAST, INC
Other - Org Name:HOME CARE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-270-2000
Mailing Address - Street 1:1701 N HAMPTON RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2387
Mailing Address - Country:US
Mailing Address - Phone:972-270-2000
Mailing Address - Fax:972-591-4576
Practice Address - Street 1:300 WILLOW CREEK PKWY
Practice Address - Street 2:240
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-4421
Practice Address - Country:US
Practice Address - Phone:972-270-2000
Practice Address - Fax:972-591-4576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015975251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150398901Medicaid
TX150398901Medicaid