Healthcare Provider Details

I. General information

NPI: 1275974982
Provider Name (Legal Business Name): BETTYES HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N EAST ST
ARLINGTON TX
76011-7202
US

IV. Provider business mailing address

400 N EAST ST
ARLINGTON TX
76011-7202
US

V. Phone/Fax

Practice location:
  • Phone: 972-322-2162
  • Fax: 817-200-6041
Mailing address:
  • Phone: 972-322-2162
  • Fax: 817-200-6041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MS. TONYA LASHELLE REEVES
Title or Position: OWNER
Credential: RN, BSN
Phone: 972-322-2162