Healthcare Provider Details

I. General information

NPI: 1447187406
Provider Name (Legal Business Name): DFW SENIOR HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 KATHARINE ST
ANNA TX
75409-1558
US

IV. Provider business mailing address

2101 KATHARINE ST
ANNA TX
75409-1558
US

V. Phone/Fax

Practice location:
  • Phone: 703-228-9115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RUQIA MANGAL
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 703-228-9115