Provider Demographics
NPI:1184881633
Name:REDICARE HOME HEALTH SERVICES INCORPORATED
Entity type:Organization
Organization Name:REDICARE HOME HEALTH SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER-CLAVER
Authorized Official - Middle Name:
Authorized Official - Last Name:CLASSO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:817-467-3500
Mailing Address - Street 1:5808 COLDSWORTH CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-2386
Mailing Address - Country:US
Mailing Address - Phone:817-467-3500
Mailing Address - Fax:817-467-6133
Practice Address - Street 1:5808 COLDSWORTH CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-2386
Practice Address - Country:US
Practice Address - Phone:817-467-3500
Practice Address - Fax:817-467-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012154251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health