Healthcare Provider Details

I. General information

NPI: 1982181426
Provider Name (Legal Business Name): PRIME CARE SERVICES HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2018
Last Update Date: 10/29/2024
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4710 WADSWORTH DR
DALLAS TX
75216-7339
US

IV. Provider business mailing address

4710 WADSWORTH DR
DALLAS TX
75216-7339
US

V. Phone/Fax

Practice location:
  • Phone: 972-262-6400
  • Fax: 972-262-6544
Mailing address:
  • Phone: 972-262-6400
  • Fax: 972-262-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CAROLYN F GREER
Title or Position: CEO/ADMINISTRATOR
Credential: LMSW
Phone: 972-768-0140