1205844636 NPI number — CARING HEALTH SERVICES, INC.

Table of content: (NPI 1205844636)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205844636 NPI number — CARING HEALTH SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING HEALTH SERVICES, 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:
CARING HOME HEALTH
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:
1205844636
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
504 LEANDER RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
GEORGETOWN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78626-8447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-863-4748
Provider Business Mailing Address Fax Number:
512-869-5597

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
504 LEANDER RD # B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GEORGETOWN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78626-8447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-863-4748
Provider Business Practice Location Address Fax Number:
512-869-5597
Provider Enumeration Date:
08/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CUMMINGS
Authorized Official First Name:
BILLY
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
512-863-4748

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  007220 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 007220 . This is a "D.A.D.S. STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000063600 . This is a "D.A.D.S. PHC PROVIDER #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 60K8090 . This is a "DADS UNIFORM CONTRACT #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".