Healthcare Provider Details

I. General information

NPI: 1053524694
Provider Name (Legal Business Name): NURSE CARE HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/02/2025
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10925 ESTATE LN STE 309
DALLAS TX
75238-2314
US

IV. Provider business mailing address

10925 ESTATE LN STE 309
DALLAS TX
75238-2314
US

V. Phone/Fax

Practice location:
  • Phone: 214-340-5577
  • Fax: 214-340-5588
Mailing address:
  • Phone: 214-340-5577
  • Fax: 214-340-5588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009461
License Number StateTX

VIII. Authorized Official

Name: MS. HARRIET W SONO
Title or Position: DIRECTOR
Credential: RN
Phone: 214-340-5577