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SOUTHWEST PERSONAL CARE NPI 1700165230


NPI Information

NPI: 1700165230
Provider Name: SOUTHWEST PERSONAL CARE
Classification: Adult Companion - 372600000X
Entity Type: Organization
Address:
5619 BELMONT AVE STE 209D
DALLAS, TX
ZIP 75206
Phone: (972) 243-4920
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SOUTHWEST PERSONAL CARE is an adult companion in Dallas, TX. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. SOUTHWEST PERSONAL CARE NPI is 1700165230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5619 BELMONT AVE STE 209D
DALLAS, TX
ZIP 75206-701
Phone: (972) 243-4920
Fax: (972) 243-4949

The provider's authorized official is Jamie R Wakefield .
The authorized official title is Administrator/owner and has the following contact phone number (214) 790-1994.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 8/15/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult CompanionYes

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: 5/5/2024

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