Provider Demographics
NPI:1023548930
Name:TEXAS HOME HEALTH GROUP OF FORT WORTH, LLC
Entity Type:Organization
Organization Name:TEXAS HOME HEALTH GROUP OF FORT WORTH, LLC
Other - Org Name:ACCENTCARE HOME HEALTH OF FORT WORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:17855 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6857
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:817-549-6537
Practice Address - Street 1:3880 HULEN ST STE 200A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7256
Practice Address - Country:US
Practice Address - Phone:817-796-7160
Practice Address - Fax:817-549-6537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health