=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801191788
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WORD HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2011
-----------------------------------------------------
Last Update Date | 11/12/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1023 BEND CT
-----------------------------------------------------
City | FORNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75126-5065
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-429-3707
-----------------------------------------------------
Fax | 877-409-7717
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 742043
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75374-2043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-429-3707
-----------------------------------------------------
Fax | 877-409-7717
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
-----------------------------------------------------
Name | MS. PHYLLIS JATTO
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 972-429-3707
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 014060
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------