1013270131 NPI number — HANDS OF COMPASSION HOME CARE II, 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 1013270131 NPI number — HANDS OF COMPASSION HOME CARE II, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDS OF COMPASSION HOME CARE II, 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:
1013270131
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1030 ANDREWS HWY
Provider Second Line Business Mailing Address:
STE. 203
Provider Business Mailing Address City Name:
MIDLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79701-3872
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-218-7996
Provider Business Mailing Address Fax Number:
432-699-4102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4090 S DANVILLE DR
Provider Second Line Business Practice Location Address:
STE. A
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79605-6973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-691-1093
Provider Business Practice Location Address Fax Number:
325-691-6268
Provider Enumeration Date:
06/22/2012

Additional Information

Authorized Official

Authorized Official Last Name:
OLASENI
Authorized Official First Name:
JANETTA
Authorized Official Middle Name:
E
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
432-218-7996

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: 747859 . This is a "PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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