=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548291776
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TWINBER INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2006
-----------------------------------------------------
Last Update Date | 03/12/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2015 E LAMAR BLVD SUITE 100
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76006-7349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-203-2900
-----------------------------------------------------
Fax | 817-203-2902
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2015 E LAMAR BLVD SUITE 100
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76006-7349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-203-2900
-----------------------------------------------------
Fax | 817-203-2902
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. FLORENTINA BERNARDO
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 817-203-2900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 009462
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number | 009462
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------