Provider Demographics
NPI:1033416862
Name:MED-STAT HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:MED-STAT HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-379-8804
Mailing Address - Street 1:5805 CALLAGHAN RD STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1127
Mailing Address - Country:US
Mailing Address - Phone:210-379-8804
Mailing Address - Fax:210-684-6601
Practice Address - Street 1:5805 CALLAGHAN RD STE 203
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1127
Practice Address - Country:US
Practice Address - Phone:210-379-8804
Practice Address - Fax:210-684-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health