Provider Demographics
NPI:1306556139
Name:MY HOME CARE GROUP INC.
Entity type:Organization
Organization Name:MY HOME CARE GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-266-5222
Mailing Address - Street 1:2200 SMITH BARRY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-5831
Mailing Address - Country:US
Mailing Address - Phone:817-266-5222
Mailing Address - Fax:
Practice Address - Street 1:6850 N SHILOH RD STE R
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2918
Practice Address - Country:US
Practice Address - Phone:817-266-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MY HOME CARE GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care