Healthcare Provider Details

I. General information

NPI: 1104163732
Provider Name (Legal Business Name): RICIA DANIELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 BELL FLOWER DR
OAK POINT TX
75068-2186
US

IV. Provider business mailing address

1617 PARK PLACE AVE STE 110
FORT WORTH TX
76110-1300
US

V. Phone/Fax

Practice location:
  • Phone: 903-436-1894
  • Fax: 972-502-9717
Mailing address:
  • Phone: 903-436-1894
  • Fax: 972-502-9717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RICIA ANN DANIELS
Title or Position: OWNER
Credential:
Phone: 903-436-1894