1619309853 NPI number — ALERT HOME CARE, LLC

Table of content: (NPI 1619309853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619309853 NPI number — ALERT HOME CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALERT HOME CARE, 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:
ASSISTING HANDS OF FORT WORTH WEST
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:
1619309853
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8851 CAMP BOWIE WEST BLVD
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76116-6040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-803-3777
Provider Business Mailing Address Fax Number:
817-803-3779

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8851 CAMP BOWIE WEST BLVD
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76116-6040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-803-3777
Provider Business Practice Location Address Fax Number:
817-803-3779
Provider Enumeration Date:
07/30/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BEVERIDGE
Authorized Official First Name:
KIM
Authorized Official Middle Name:
JAY
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
817-832-8693

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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