Basic Information
| Provider Information | |||||||||
| NPI: | 1053321869 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GIRLING HEALTH CARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 4060 | ||||||||
| Address2: | ATTN: REGULATORY | ||||||||
| City: | MOORESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281171157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046620416 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3307 NORTHLAND DR STE 260 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787314943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124543581 | ||||||||
| FaxNumber: | 5124531748 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2006 | ||||||||
| LastUpdateDate: | 10/14/2022 | ||||||||
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| AuthorizedOfficialLastName: | COMBS | ||||||||
| AuthorizedOfficialFirstName: | JANET | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | VP, LICENSURE | ||||||||
| AuthorizedOfficialTelephone: | 9138142013 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 10/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171WH0202X | N | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Contractor | Home Modifications | 251C00000X | N | Agencies | Day Training, Developmentally Disabled Services | 251G00000X | N | Agencies | Hospice Care, Community Based | 251J00000X | N | Agencies | Nursing Care | 3747P1801X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Related Providers | Technician | Personal Care Attendant | 385H00000X | N | Respite Care Facility | Respite Care | 251E00000X | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 185774001 | 05 | TX | MEDICAID | 416333901 | 05 | TX | MEDICAID | 185774003 | 05 | TX | MEDICAID | 185774007 | 05 | TX | MEDICAID | 185774008 | 05 | TX | MEDICAID | 416748801 | 05 | TX | MEDICAID | 185774012 | 05 | TX | MEDICAID | 185774004 | 05 | TX | MEDICAID | 185774009 | 05 | TX | MEDICAID | 417479901 | 05 | TX | MEDICAID | 185774006 | 05 | TX | MEDICAID | 416723101 | 05 | TX | MEDICAID | 185774010 | 05 | TX | MEDICAID | 185774011 | 05 | TX | MEDICAID | 415405601 | 05 | TX | MEDICAID | 415411401 | 05 | TX | MEDICAID |