Provider Demographics
NPI:1255957619
Name:TWO CIRCLES HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:TWO CIRCLES HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-701-1791
Mailing Address - Street 1:1908 ROYAL LN STE 350
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-3128
Mailing Address - Country:US
Mailing Address - Phone:972-638-8053
Mailing Address - Fax:972-755-4906
Practice Address - Street 1:1908 ROYAL LN STE 350
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-3128
Practice Address - Country:US
Practice Address - Phone:469-661-1488
Practice Address - Fax:469-828-2541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
020092OtherHOME HEALTH CARE