Provider Demographics
NPI:1700455334
Name:DFW CAREGIVERS LLC
Entity Type:Organization
Organization Name:DFW CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:LANRE
Authorized Official - Middle Name:SODIQ
Authorized Official - Last Name:ADEDIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-436-2198
Mailing Address - Street 1:2012 E RANDOL MILL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-8294
Mailing Address - Country:US
Mailing Address - Phone:254-436-2198
Mailing Address - Fax:
Practice Address - Street 1:2012 E RANDOL MILL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-8294
Practice Address - Country:US
Practice Address - Phone:254-436-2198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty