Provider Demographics
NPI:1649285057
Name:ALL CARE HOME HEALTH
Entity type:Organization
Organization Name:ALL CARE HOME HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARVA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAY
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:972-709-7518
Mailing Address - Street 1:1515 GINA DR
Mailing Address - Street 2:SUITE 19
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3493
Mailing Address - Country:US
Mailing Address - Phone:972-709-7518
Mailing Address - Fax:817-200-6207
Practice Address - Street 1:1515 GINA DR
Practice Address - Street 2:SUITE 19
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-3493
Practice Address - Country:US
Practice Address - Phone:972-709-7518
Practice Address - Fax:817-200-6207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009923251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743159Medicare UPIN