Provider Demographics
NPI:1427018951
Name:BIO CARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:BIO CARE HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:214-327-1700
Mailing Address - Street 1:7501 ESTERS BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063
Mailing Address - Country:US
Mailing Address - Phone:214-327-1700
Mailing Address - Fax:888-711-0881
Practice Address - Street 1:7501 ESTERS BLVD
Practice Address - Street 2:STE 110
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063
Practice Address - Country:US
Practice Address - Phone:214-327-1700
Practice Address - Fax:888-711-0881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIO CARE HOME HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-27
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010025251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-7830Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER