Provider Demographics
NPI:1750935573
Name:ASISTENCIA EN CASA THERAPY SERVICE, INC.
Entity type:Organization
Organization Name:ASISTENCIA EN CASA THERAPY SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HALIMA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-208-5131
Mailing Address - Street 1:PO BOX 450878
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75045
Mailing Address - Country:US
Mailing Address - Phone:214-208-5131
Mailing Address - Fax:972-271-0100
Practice Address - Street 1:1225 GLYNDON DR.
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023
Practice Address - Country:US
Practice Address - Phone:214-208-5131
Practice Address - Fax:972-271-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service