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TRC HOME HEALTH SERVICES LLC NPI 1568446185


NPI Information

NPI: 1568446185
Provider Name: TRC HOME HEALTH SERVICES, LLC

Doing Business As: PROVISTA HEALTHCARE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D1025493

Address:
4849 GREENVILLE AVE
1124
DALLAS, TX
ZIP 75206
Phone: (214) 965-0431
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TRC HOME HEALTH SERVICES, LLC is a home health in Dallas, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. TRC HOME HEALTH SERVICES, LLC NPI is 1568446185. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Provista Healthcare.

The provider's business location address is:

4849 GREENVILLE AVE
1124
DALLAS, TX
ZIP 75206-130
Phone: (214) 965-0431
Fax: (214) 965-0434

The provider's authorized official is Melissa Rodriguez .
The authorized official title is Administrator and has the following contact phone number (888) 965-0431.

The CLIA number assigned to this NPI record is 45D1025493 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 4/3/2024.


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
11041C0700XSocial WorkerClinicalNo
2163WH0200XRegistered NurseHome HealthNo
3164X00000XLicensed Vocational NurseNo
4224Z00000XOccupational Therapy AssistantNo
5225100000XPhysical TherapistNo
6225200000XPhysical Therapy AssistantNo
7225X00000XOccupational TherapistNo
8235Z00000XSpeech-Language PathologistNo
9251E00000XHome Health014495TEXASYes
10261QA1903XClinic/CenterAmbulatory SurgicalNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.