Healthcare Provider Details

I. General information

NPI: 1689712481
Provider Name (Legal Business Name): CAREGIVERS HOME HEALTH TX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E CAMPBELL RD STE 254
RICHARDSON TX
75081-1872
US

IV. Provider business mailing address

800 E CAMPBELL RD STE 254
RICHARDSON TX
75081-1872
US

V. Phone/Fax

Practice location:
  • Phone: 972-918-0612
  • Fax: 972-918-0642
Mailing address:
  • Phone: 972-918-0612
  • Fax: 972-918-0642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009281
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberTX
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number009281
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number009281
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number009281
License Number StateTX

VIII. Authorized Official

Name: MR. JETRE A SCHULER
Title or Position: OWNER
Credential:
Phone: 972-918-0612