Provider Demographics
NPI:1023727120
Name:DALLAS HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:DALLAS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HOME CARE
Authorized Official - Prefix:
Authorized Official - First Name:SHERRILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-998-4300
Mailing Address - Street 1:324 E BELT LINE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5706
Mailing Address - Country:US
Mailing Address - Phone:469-998-4300
Mailing Address - Fax:
Practice Address - Street 1:324 E BELT LINE RD STE 400
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5706
Practice Address - Country:US
Practice Address - Phone:469-998-4300
Practice Address - Fax:469-998-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child