Healthcare Provider Details

I. General information

NPI: 1063867232
Provider Name (Legal Business Name): NATECARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9319 LBJ FWY SUITE 116
DALLAS TX
75243-3450
US

IV. Provider business mailing address

9319 LBJ FWY SUITE 116
DALLAS TX
75243-3450
US

V. Phone/Fax

Practice location:
  • Phone: 972-807-9042
  • Fax: 888-382-3751
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. FILEX INYANZA
Title or Position: PRESIDENT
Credential: CEO
Phone: 888-382-3751