Provider Demographics
NPI:1356925937
Name:ILERACO,LLC
Entity type:Organization
Organization Name:ILERACO,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOOKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:QMHP
Authorized Official - Phone:469-558-4317
Mailing Address - Street 1:PO BOX 701385
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-1385
Mailing Address - Country:US
Mailing Address - Phone:469-558-4317
Mailing Address - Fax:866-506-6660
Practice Address - Street 1:8408 BROOKSBY DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3758
Practice Address - Country:US
Practice Address - Phone:214-558-4317
Practice Address - Fax:866-506-6660
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOOKER-SMITH ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-10
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No177F00000XOther Service ProvidersLodging
No251300000XAgenciesLocal Education Agency (LEA)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient