Provider Demographics
NPI:1053891572
Name:NP CARE AT HOME LLC
Entity type:Organization
Organization Name:NP CARE AT HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:469-765-7751
Mailing Address - Street 1:PO BOX 3801
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79604-3801
Mailing Address - Country:US
Mailing Address - Phone:469-765-7751
Mailing Address - Fax:
Practice Address - Street 1:3300 S 14TH ST STE 207
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-5056
Practice Address - Country:US
Practice Address - Phone:325-550-6698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NP CARE AT HOME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-14
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty