MEDICARE: CAPLAN HOME CARE LLC

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	:	1922482827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPLAN HOME CARE LLC

Provider Business Mailing Address
First Line	:	6029 BERKSHIRE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-5712
Country	:	US
Telephone Number	:	214-207-0034
Fax Number	:

Provider Business Practice Location Address
First Line	:	6029 BERKSHIRE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-5712
Country	:	US
Telephone Number	:	214-207-0034
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JARED L CAPLAN
Credential	:
Telephone Number	:	214-207-0034

Provider Enumeration Date	:	07/10/2015
Last Update Date	:	08/17/2015

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