Healthcare Provider Details

I. General information

NPI: 1659136943
Provider Name (Legal Business Name): BRINGINGLIFETOGETHER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E. FERGUSON ST. SUITE 920., FIRST PLACE BUILDING
TYLER TX
75702
US

IV. Provider business mailing address

18253 US JONES DR
TYLER TX
75705-4791
US

V. Phone/Fax

Practice location:
  • Phone: 903-752-8899
  • Fax:
Mailing address:
  • Phone: 979-248-7670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERRY CARAG
Title or Position: EXECUTIVE DIRECTOR
Credential: PT, DPT
Phone: 903-752-9766