1326487661 NPI number — DLS ELDER HOME HEALTH 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 1326487661 NPI number — DLS ELDER HOME HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DLS ELDER 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:
1326487661
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 494634
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75049-4634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-989-4288
Provider Business Mailing Address Fax Number:
972-559-8031

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3422 WINDRIDGE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75043-1434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-989-4288
Provider Business Practice Location Address Fax Number:
972-559-8031
Provider Enumeration Date:
06/20/2013

Additional Information

Authorized Official

Authorized Official Last Name:
NGUYEN
Authorized Official First Name:
SUANN
Authorized Official Middle Name:
CAO
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
214-989-4288

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , 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)





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