Provider Demographics
NPI:1063667517
Name:COSMIC HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:COSMIC HOME HEALTHCARE INC.
Other - Org Name:NEW LIFE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-248-7848
Mailing Address - Street 1:36549 STATE HIGHWAY 64 STE 102
Mailing Address - Street 2:
Mailing Address - City:WILLS POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75169-9325
Mailing Address - Country:US
Mailing Address - Phone:972-248-7848
Mailing Address - Fax:972-474-9115
Practice Address - Street 1:36549 STATE HIGHWAY 64 STE 102
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169-9325
Practice Address - Country:US
Practice Address - Phone:972-248-7848
Practice Address - Fax:972-474-9115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health