Provider Demographics
NPI:1285778936
Name:ALL COUNTY HOME CARE, LLC.
Entity type:Organization
Organization Name:ALL COUNTY HOME CARE, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMOOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-331-1291
Mailing Address - Street 1:37131 INTERSTATE 10 W BLDG 400
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-8989
Mailing Address - Country:US
Mailing Address - Phone:830-331-1291
Mailing Address - Fax:830-331-1295
Practice Address - Street 1:37131 INTERSTATE 10 W BLDG 400
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-8989
Practice Address - Country:US
Practice Address - Phone:830-331-1291
Practice Address - Fax:830-331-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX011624251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743120Medicare Oscar/Certification
TX671756Medicare Oscar/Certification