Healthcare Provider Details

I. General information

NPI: 1467079665
Provider Name (Legal Business Name): HBCS ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 N MAIN ST STE 226
FORT WORTH TX
76164-8576
US

IV. Provider business mailing address

2100 N MAIN ST STE 226
FORT WORTH TX
76164-8576
US

V. Phone/Fax

Practice location:
  • Phone: 817-349-9075
  • Fax: 817-549-0214
Mailing address:
  • Phone: 214-729-7001
  • Fax: 817-549-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MARTIN VERN BAYLOR
Title or Position: CO-OWNER/ADMINISTRATOR
Credential:
Phone: 817-349-9075