Provider Demographics
NPI:1992731152
Name:HOME MEDICAL CARE, INC.
Entity type:Organization
Organization Name:HOME MEDICAL CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-406-0003
Mailing Address - Street 1:4004 BELT LINE RD STE 230
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5876
Mailing Address - Country:US
Mailing Address - Phone:972-406-0003
Mailing Address - Fax:972-406-9620
Practice Address - Street 1:4004 BELT LINE RD STE 230
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5876
Practice Address - Country:US
Practice Address - Phone:972-406-0003
Practice Address - Fax:972-406-9620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX007678251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
67-9144OtherMEDICARE LEGACY PROV. NO.
67-9144OtherMEDICARE LEGACY PROV. NO.