Provider Demographics
NPI:1205540127
Name:MASTERS OF CARE HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MASTERS OF CARE HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRESHANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-843-0579
Mailing Address - Street 1:1942 SIRIUS GRV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4751
Mailing Address - Country:US
Mailing Address - Phone:310-259-1825
Mailing Address - Fax:
Practice Address - Street 1:1942 SIRIUS GRV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-4751
Practice Address - Country:US
Practice Address - Phone:310-259-1825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)