Organization
BNS LEGACY
Active
Other names
BNS HOME HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
LABARONNIE MITCHELL (ADMINISTRATOR)
(469) 969-8664
Entity
Organization
Contact information
Practice address
1210 WILSHIRE CT, ALLEN, TX 75002-8671
(469) 969-8664
Mailing address
190 E STACY RD, SUITE 306 #342, ALLEN, TX 75002
(469) 969-8664
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WH1000X
Hospice Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
2279H0200X
Home Health Registered Respiratory Therapist
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020242
STATE OF TEXAS HOME HEALTH LICENSE NUMBER
TX
Enumeration date
07/23/2021
Last updated
07/23/2021
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