# INTERTWINED SENIOR CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERTWINED SENIOR CARE, LLC
- **Other names:** Extended Family Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518424555
- **Legal business name:** INTERTWINED SENIOR CARE, LLC
- **Authorized official:** MRS. KELLEY MONROE RN (ADMINISTRATOR)
- **Authorized official phone:** (817) 344-0004

## Contact information

- **Practice address:** 5512 LAVACA RD, GRAND PRAIRIE, TX 75052-8566
- **Practice address phone:** (817) 344-0004
- **Mailing address:** 5512 LAVACA RD, GRAND PRAIRIE, TX 75052-8566
- **Mailing address phone:** (817) 344-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 11/06/2019