Provider Demographics
NPI:1457526584
Name:RESTORATIVE CARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:RESTORATIVE CARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-285-8515
Mailing Address - Street 1:221 BEDFORD RD STE 320
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6250
Mailing Address - Country:US
Mailing Address - Phone:817-285-8515
Mailing Address - Fax:817-285-8869
Practice Address - Street 1:221 BEDFORD RD STE 320
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6250
Practice Address - Country:US
Practice Address - Phone:817-285-8515
Practice Address - Fax:817-285-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011831251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health