MEDICARE: EPICARE HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1124329610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPICARE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	2480 LAKEWOOD DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6800
Country	:	US
Telephone Number	:	682-518-9268
Fax Number	:

Provider Business Practice Location Address
First Line	:	2480 LAKEWOOD DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6800
Country	:	US
Telephone Number	:	682-518-9268
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DAISY SARMIENTO
Credential	:
Telephone Number	:	817-726-4275

Provider Enumeration Date	:	11/15/2010
Last Update Date	:	11/15/2010

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