MEDICARE: BESTCARE SPECIALTY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780814301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BESTCARE SPECIALTY SERVICES, INC.

Provider Business Mailing Address
First Line	:	7215 BAKER BLVD.
Second Line	:	STE A
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76118
Country	:	US
Telephone Number	:	940-692-9825
Fax Number	:	940-692-1024

Provider Business Practice Location Address
First Line	:	3908 KELL BLVD. WEST
Second Line	:	APT. 236
City	:	WICHITA FALLS
State	:	TX
Zip	:	76309
Country	:	US
Telephone Number	:	940-692-9825
Fax Number	:	940-692-1024

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ROBERT WAYNE RICHEY
Credential	:
Telephone Number	:	817-595-9566

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	07/16/2009

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