Provider Demographics
NPI:1972592806
Name:PARIS SENIOR CARE GROUP, INC.
Entity Type:Organization
Organization Name:PARIS SENIOR CARE GROUP, INC.
Other - Org Name:PREMIER HOME CARE & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-785-0355
Mailing Address - Street 1:PO BOX 6723
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-6723
Mailing Address - Country:US
Mailing Address - Phone:903-785-0355
Mailing Address - Fax:903-785-0365
Practice Address - Street 1:2160 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4754
Practice Address - Country:US
Practice Address - Phone:903-785-0355
Practice Address - Fax:903-785-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009496251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457835Medicare ID - Type Unspecified