1396248241 NPI number — AMERICAN HEALTH AND LEGAL WORKFORCE LLC

Table of content: (NPI 1396248241)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396248241 NPI number — AMERICAN HEALTH AND LEGAL WORKFORCE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HEALTH AND LEGAL WORKFORCE LLC
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:
CARE AT HOME SERVICES
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:
1396248241
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1201 N WATSON RD
Provider Second Line Business Mailing Address:
220
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76006-6190
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-336-2423
Provider Business Mailing Address Fax Number:
225-208-4028

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 N WATSON RD
Provider Second Line Business Practice Location Address:
220
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76006-6190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-336-2423
Provider Business Practice Location Address Fax Number:
225-208-4028
Provider Enumeration Date:
03/16/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DARKWA
Authorized Official First Name:
KLIPHORD
Authorized Official Middle Name:
ODURO
Authorized Official Title or Position:
ADMINSTRATOR
Authorized Official Telephone Number:
214-336-2423

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1174140 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225200000X , with the licence number: 2069559 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225X00000X , with the licence number: 103520 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: 103094 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 018390 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 193200000X . This is a "MULTI SPECIALTY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".