1538488325 NPI number — PRESTON HOLLOW HOME CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538488325 NPI number — PRESTON HOLLOW HOME CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRESTON HOLLOW HOME CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PRESTON HOLLOW HOME CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538488325
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6011 STEAMBOAT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75230-1851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-948-7888
Provider Business Mailing Address Fax Number:
214-234-0721

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6011 STEAMBOAT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75230-1851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-948-7888
Provider Business Practice Location Address Fax Number:
214-234-0721
Provider Enumeration Date:
05/19/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CRAIG
Authorized Official First Name:
TIFFANY
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
972-567-3873

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com