1255957619 NPI number — TWO CIRCLES HOME HEALTH CARE, INC.

Table of content: (NPI 1255957619)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255957619 NPI number — TWO CIRCLES HOME HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TWO CIRCLES HOME HEALTH 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:
Provider Other Organization Name Type Code:
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:
1255957619
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1908 ROYAL LN STE 300
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:
75229-0265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-982-0881
Provider Business Mailing Address Fax Number:
469-828-2541

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1908 ROYAL LN STE 300
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:
75229-0265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-982-0881
Provider Business Practice Location Address Fax Number:
469-828-2541
Provider Enumeration Date:
06/22/2020

Additional Information

Authorized Official

Authorized Official Last Name:
HEIDARI
Authorized Official First Name:
ARVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
469-968-6090

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)

  • Identifier: 020092 . This is a "HOME HEALTH CARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com