Provider Demographics
NPI:1134364144
Name:AWESOME HOME CARE INC.
Entity type:Organization
Organization Name:AWESOME HOME CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:T
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:214-850-8140
Mailing Address - Street 1:6000 CHESTNUT BND
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7614
Mailing Address - Country:US
Mailing Address - Phone:817-577-0035
Mailing Address - Fax:817-577-0065
Practice Address - Street 1:6000 CHESTNUT BND
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-7614
Practice Address - Country:US
Practice Address - Phone:817-577-0035
Practice Address - Fax:817-577-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health