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NPI Code Detail

MEDICARE: OUTREACH HEALTH COMMUNITY CARE SERVICES, LP

MEDICARE: OUTREACH HEALTH COMMUNITY CARE SERVICES, LP
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
1251E00000XHome Health Agency
23747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000011100OTHERTXTDADS-PHC REG 01

General Provider Information

NPI Number : 1457427536
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUTREACH HEALTH COMMUNITY CARE SERVICES, LP
Provider Business Mailing Address
First Line : 251 RENNER PKWY
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-1316
Country : US
Telephone Number : 214-703-1310
Fax Number : 972-792-6739
Provider Business Practice Location Address
First Line : 3444 N 1ST ST STE 510
Second Line :
City : ABILENE
State : TX
Zip : 79603-6941
Country : US
Telephone Number : 325-676-2281
Fax Number : 325-676-1469
Authorized Official
Title or Position : DIRECTOR OF COMPLIANCE
Name : REBECCA L WILLIAMS
Credential :
Telephone Number : 214-538-6689
Provider Enumeration Date : 11/28/2006
Last Update Date : 03/05/2025

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Directions to “OUTREACH HEALTH COMMUNITY CARE SERVICES, LP ” Practice Location

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