Provider Demographics
NPI:1053524694
Name:NURSE CARE HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:NURSE CARE HOME HEALTH AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:W
Authorized Official - Last Name:SONO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-340-5577
Mailing Address - Street 1:10925 ESTATE LN STE 309
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2314
Mailing Address - Country:US
Mailing Address - Phone:214-340-5577
Mailing Address - Fax:214-340-5588
Practice Address - Street 1:10925 ESTATE LN STE 309
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2314
Practice Address - Country:US
Practice Address - Phone:214-340-5577
Practice Address - Fax:214-340-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009461251E00000X
3747A0650X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677929Medicare PIN