HOME CARE PROVIDER SERVICE
NPI 1992197412
In Home Supportive Care in Port Arthur, TX

Q: What is Beach Bay And Tackle LLC Dba Home Care Provider Service's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since February 20, 2015

3780 MARTIN LUTHER KING JR DR, PORT ARTHUR, TX 77640(409) 782-0332(409) 300-4389 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Home Care Provider Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOME CARE PROVIDER SERVICE (NPI 1992197412) is a healthcare organization registered as an in home supportive care in Port Arthur, Texas and active in the NPI registry since February 2015. The organization lists Michael Ryan Zumwalt, Owner, as its authorized official.

NPPES Registry Identity

NPI1992197412

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameBEACH BAY AND TACKLE LLC DBA HOME CARE PROVIDER SERVICE

Location Address3780 MARTIN LUTHER KING JR DRPort Arthur, TX 77640-6862

Mailing Address3780 Martin Luther King Jr DrPort Arthur, TX 77640-6862 · (409) 782-0332 · Fax (409) 300-4389

Phone(409) 782-0332

Fax(409) 300-4389

Organization SubpartNo

Authorized OfficialMichael Ryan ZumwaltOwner · (409) 782-0332

Enumeration DateFebruary 20, 2015

✔ NPI 1992197412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in TX · 149211

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

3780 MARTIN LUTHER KING JR DR, Port Arthur, TX 77640

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Other Names 1

Doing Business AsHome Care Provider Service

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Bay And Tackle LLC Dba Home Care Provider Service's NPI number?

The NPI number for Beach Bay And Tackle LLC Dba Home Care Provider Service is 1992197412. It was assigned to this organization in the NPPES registry on February 20, 2015. The provider is doing business as Home Care Provider Service.

Where is Beach Bay And Tackle LLC Dba Home Care Provider Service located?

Beach Bay And Tackle LLC Dba Home Care Provider Service is located at 3780 Martin Luther King Jr Dr, Port Arthur, TX 77640. The listed phone number is (409) 782-0332.

What is Beach Bay And Tackle LLC Dba Home Care Provider Service's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Beach Bay And Tackle LLC Dba Home Care Provider Service was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.