MEDICARE: SATORI IN HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073980413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATORI IN HOME CARE, INC.

Provider Business Mailing Address
First Line	:	2305 SAINT CLAIRE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2262
Country	:	US
Telephone Number	:	817-224-2281
Fax Number	:	469-547-0820

Provider Business Practice Location Address
First Line	:	2305 SAINT CLAIRE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2262
Country	:	US
Telephone Number	:	817-224-2281
Fax Number	:	469-547-0820

Authorized Official
Title or Position	:	CEO
Name	:	MR. JEREMY MICHAEL TOMSIC
Credential	:	RN
Telephone Number	:	817-909-6860

Provider Enumeration Date	:	09/01/2015
Last Update Date	:	09/01/2015

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