Provider Demographics
NPI:1104931609
Name:FOCUS CARE HEALTH RESOURCES, INC
Entity type:Organization
Organization Name:FOCUS CARE HEALTH RESOURCES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-814-2288
Mailing Address - Street 1:12900 FOSTER SUITE 400
Mailing Address - Street 2:ATTN: LICENSING & CERTIFICATION DEPT.
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2696
Mailing Address - Country:US
Mailing Address - Phone:913-814-2800
Mailing Address - Fax:
Practice Address - Street 1:251 WATERMERE DRIVE
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8134
Practice Address - Country:US
Practice Address - Phone:817-562-5408
Practice Address - Fax:817-337-9171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007248251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000877700Medicaid
TX000024400Medicaid