MEDICARE: GREAT PROVIDER CAREGIVERS

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	:	1982003778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT PROVIDER CAREGIVERS

Provider Business Mailing Address
First Line	:	2233 AVENUE J STE 107
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5884
Country	:	US
Telephone Number	:	817-635-6088
Fax Number	:	817-633-3976

Provider Business Practice Location Address
First Line	:	2233 AVENUE J STE 107
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5884
Country	:	US
Telephone Number	:	817-635-6088
Fax Number	:	817-633-3976

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JAMES SANTIAGO
Credential	:	MOTR
Telephone Number	:	817-635-6088

Provider Enumeration Date	:	08/18/2014
Last Update Date	:	08/18/2014

Similar Medicare Providers

1164522975 — ABUNDANT HOME HEALTH, LLC
Practice Location Address:

2233 AVENUE J STE 107
ARLINGTON, TX
76006-5884

Practice Phone: 817-633-3152
Practice Fax: 817-394-2587

1639450018 — MIND & BODY HEALTH SOLUTIONS LLC
Practice Location Address:

2233 AVENUE J STE 101
ARLINGTON, TX
76006-5884

Practice Phone: 817-460-7080
Practice Fax: 817-460-1220

1720407984 — EUNICE ASAH FNP-BC
Practice Location Address:

2233 AVENUE J STE 103
ARLINGTON, TX
76006-5884

Practice Phone: 972-393-0909
Practice Fax: 817-365-8446

1609359876 — SUAD A KHALED MS,LPC
Practice Location Address:

2233 AVENUE J STE 101
ARLINGTON, TX
76006-5884

Practice Phone: 817-460-7080
Practice Fax: 817-460-1220

1629679717 — EDITH ACHEBODT
Practice Location Address:

2233 AVENUE J STE 103B
ARLINGTON, TX
76006-5884

Practice Phone: 972-205-9898
Practice Fax: 972-205-9888

1629644554 — ABUNDANT MEDICAL GROUP LLC
Practice Location Address:

2233 AVENUE J STE 107
ARLINGTON, TX
76006-5884

Practice Phone: 469-556-5955
Practice Fax:

Directions to “GREAT PROVIDER CAREGIVERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.