Home Care Provider Service

LBN: Beach Bay And Tackle Llc Dba Home Care Provider Service
Home Care Provider Service is an health care organization with primary practice located at 3780 Martin Luther King Jr Dr , Port Arthur TX 77640-6862. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Beach Bay And Tackle Llc Dba Home Care Provider Service can be contacted via phone (409) 782-0332, or through Zumwalt, Michael Ryan via phone (409) 782-0332.

Contact Information

Primary practice address
3780 Martin Luther King Jr Dr Port Arthur TX 77640-6862
Phone: (409) 782-0332
Fax: (409) 300-4389
Website:
Map and Directions
Authorized official contact:
Name: Zumwalt, Michael Ryan Licensed Visiting Nurse (LVN)
Phone: (409) 782-0332

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 149211 Texas

Profile Details

NPI number 1992197412
LBN Legal business name Beach Bay And Tackle Llc Dba Home Care Provider Service
DBA Doing business as Home Care Provider Service
Authorized official Zumwalt, Michael Ryan Licensed Visiting Nurse (LVN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2015
Last updated Feb 20th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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