Basic Information
| Provider Information | |||||||||
| NPI: | 1669661781 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERACARE HOME HEALTH OF NORTH TEXAS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 126 W CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750573928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724349400 | ||||||||
| FaxNumber: | 9724349450 | ||||||||
| Practice Location | |||||||||
| Address1: | 126 W CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750573928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724349400 | ||||||||
| FaxNumber: | 9724349450 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2007 | ||||||||
| LastUpdateDate: | 11/20/2008 | ||||||||
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| AuthorizedOfficialLastName: | NEVILLE | ||||||||
| AuthorizedOfficialFirstName: | ROB | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
| AuthorizedOfficialTelephone: | 2149086353 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.