Healthcare Provider Details

I. General information

NPI: 1881607638
Provider Name (Legal Business Name): HOMECARELINK LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 10TH ST STE C
BRIDGEPORT TX
76426-2339
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 940-442-5302
  • Fax: 940-442-5311
Mailing address:
  • Phone: 903-537-8656
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008205
License Number StateTX

VIII. Authorized Official

Name: DEBRA MILLER
Title or Position: VICE PRESIDENT OF REGULATORY
Credential:
Phone: 903-537-8656