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PROCARE HOME CARE AGENCY NPI 1366588147


NPI Information

NPI: 1366588147
Provider Name: PROCARE HOME CARE AGENCY

Doing Business As: PROCARE HOME CARE AGENCY

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 45D1000378

Address:
7924 PRESTON RD
SUITE 100A
PLANO, TX
ZIP 75024
Phone: (972) 712-6956
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PROCARE HOME CARE AGENCY is a nursing care in Plano, TX. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PROCARE HOME CARE AGENCY NPI is 1366588147. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Procare Home Care Agency.

The provider's business location address is:

7924 PRESTON RD
SUITE 100A
PLANO, TX
ZIP 75024-301
Phone: (972) 712-6956
Fax: (972) 712-4454

The provider's authorized official is Olufemi Owoseni .
The authorized official title is Administrator and has the following contact phone number (972) 712-6956.

The CLIA number assigned to this NPI record is 45D1000378 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 2/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372600000XAdult CompanionNo
23747P1801XTechnicianPersonal Care AttendantNo
3374U00000XHome Health AideNo
4376J00000XHomemakerNo
5251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013077MEDICAIDTEXAS
21013870MEDICAIDTEXAS
31012925MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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