PANCARE HOMECARE, INC (NPI# 1942466610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942466610 |
| Entity Type | Organization |
| Organization Name | PANCARE HOMECARE, INC |
| Practice Address |
3165 Kingswood Ct Mansfield TX 76063-7545 |
| Mailing Address |
Po Box 156156 Fort Worth TX 76155-1156 |
| Practice Telephone | 8175215144 |
| Mailing Telephone | 8175215144 |
| Mailing Fax Number | 6825185706 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | DR. STEPHEN O MBAH (ADMINISTRATOR) |
| Authorized Official Telephone | 8175215144 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
TX | Ambulatory Health Care Facilities |
| Street Address |
3165 KINGSWOOD CT |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212695 | Simpo Group Inc | Pharmacy | 3165 Kingswood Ct, Mansfield, TX 76063-7545 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1225164007 | Ear Nose Throat Head & Neck Surgeons of Ne Ohio Inc | Clinic/Center | 558 S Trimble Rd, Mansfield, OH 44906-3418 | 2007-02-26 |
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| 1902412125 | Josella Investment LLC | Clinic/Center | 3831 Tarragon Bend Dr, Richmond, TX 77406-2618 | 2020-09-22 |
| 1497360077 | Care Connectors Medical Group Associates | Clinic/Center | 7956 Crescent Moon Pl, El Paso, TX 79932-1069 | 2020-09-10 |
| 1790398519 | Triniti Obgyn and Medspa, Pllc | Clinic/Center | 10902 Katy Fwy Apt 503, Houston, TX 77043-4918 | 2020-08-31 |
| 1386255065 | Divine Grace Family Clinic Inc | Clinic/Center | 2455 Robinson Rd Ste 100, Grand Prairie, TX 75051-3852 | 2020-08-14 |
| 1275142622 | Wound Care Institute of Texas, Pllc | Clinic/Center | 1401 E Ridge Rd Ste C, Mcallen, TX 78503 | 2020-07-30 |
| 1215545751 | Fullilove Prregnancy Center | Clinic/Center | 1640 E Tc Jester Blvd Apt 1123, Houston, TX 77008-2579 | 2020-07-21 |
| 1760090526 | Sinang Medical & Associates | Clinic/Center | 10970 Shadow Creek Pkwy Ste 2, Pearland, TX 77584-0100 | 2020-07-17 |
| 1376160390 | Swell Steps Therapy | Clinic/Center | 4302 Cibolo Creek Trl, Prosper, TX 75078-9797 | 2020-06-26 |
| 1417570003 | Desire To Live Now, LLC | Clinic/Center | 1409 N Bishop St # A4, San Marcos, TX 78666-2600 | 2020-05-18 |
| 1255951679 | Sedrick Dewayne Bunton | Clinic/Center | 2923 Havenwood Ct, Richmond, TX 77406-2091 | 2020-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.