=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992451223
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARM SPECIALTY CARE LIMITED LIABILITY COMPANY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2022
-----------------------------------------------------
Last Update Date | 03/29/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2031 JOHN WEST RD STE 120
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75228-4974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-918-8560
-----------------------------------------------------
Fax | 214-292-8628
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2031 JOHN WEST RD STE 120
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75228-4974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-918-8560
-----------------------------------------------------
Fax | 214-292-8628
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TIFFANY MCKINNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-854-2904
-----------------------------------------------------
=====================================================
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 | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------