Provider Demographics
NPI:1487905600
Name:HOME CARE ASSISTANCE OF TEXARKANA
Entity type:Organization
Organization Name:HOME CARE ASSISTANCE OF TEXARKANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RYTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-838-5485
Mailing Address - Street 1:2011 MALL DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2550
Mailing Address - Country:US
Mailing Address - Phone:903-838-5485
Mailing Address - Fax:
Practice Address - Street 1:2011 MALL DR
Practice Address - Street 2:SUITE 4
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2550
Practice Address - Country:US
Practice Address - Phone:903-838-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care