Provider Demographics
NPI:1952449092
Name:HOMECARE SERVICES, INC. OF DALLAS COUNTY
Entity Type:Organization
Organization Name:HOMECARE SERVICES, INC. OF DALLAS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BILSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-993-5175
Mailing Address - Street 1:23561 NANTUCKET RD
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-4400
Mailing Address - Country:US
Mailing Address - Phone:515-993-4531
Mailing Address - Fax:515-993-5821
Practice Address - Street 1:23561 NANTUCKET RD
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-4400
Practice Address - Country:US
Practice Address - Phone:515-993-4531
Practice Address - Fax:515-993-5821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0059014OtherHCBS WAIVER PROVIDER