Provider Demographics
NPI:1184436560
Name:TEXAS PROVISION OF HOPE HOME CARE LLC
Entity type:Organization
Organization Name:TEXAS PROVISION OF HOPE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-837-6950
Mailing Address - Street 1:1117 W PIONEER PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6395
Mailing Address - Country:US
Mailing Address - Phone:214-837-6950
Mailing Address - Fax:
Practice Address - Street 1:1117 W PIONEER PKWY STE 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6395
Practice Address - Country:US
Practice Address - Phone:214-837-6950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty