Provider Demographics
NPI:1215109962
Name:AMERICARE CARING HOSPICE SERVICES INC
Entity type:Organization
Organization Name:AMERICARE CARING HOSPICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:SR
Authorized Official - Credentials:ALT ADMINISTRATOR
Authorized Official - Phone:254-899-8700
Mailing Address - Street 1:1105 N. GENERAL BRUCE DR.
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504
Mailing Address - Country:US
Mailing Address - Phone:254-899-8900
Mailing Address - Fax:254-899-8115
Practice Address - Street 1:1105 N. GENERAL BRUCE DR.
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504
Practice Address - Country:US
Practice Address - Phone:254-899-8900
Practice Address - Fax:254-899-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009574251G00000X
TX011986251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-1506Medicare UPIN