Healthcare Provider Details

I. General information

NPI: 1487017687
Provider Name (Legal Business Name): VIETCARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W PIONEER PKWY # 160
ARLINGTON TX
76010
US

IV. Provider business mailing address

2015 W SANFORD ST
ARLINGTON TX
76012
US

V. Phone/Fax

Practice location:
  • Phone: 214-586-7491
  • Fax: 817-299-8890
Mailing address:
  • Phone: 972-786-6364
  • Fax: 817-299-8890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number017645
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number017645
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number017645
License Number StateTX

VIII. Authorized Official

Name: THU MINH DANG
Title or Position: MANAGER
Credential:
Phone: 972-786-6364