Provider Demographics
NPI:1003141490
Name:HILFORD HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:HILFORD HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIES-COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-329-0036
Mailing Address - Street 1:10935 ESTATE LN STE 109
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-5164
Mailing Address - Country:US
Mailing Address - Phone:972-329-0036
Mailing Address - Fax:972-692-7152
Practice Address - Street 1:10935 ESTATE LANE
Practice Address - Street 2:S-241
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2316
Practice Address - Country:US
Practice Address - Phone:972-329-0036
Practice Address - Fax:972-329-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX344624701Medicaid