Provider Demographics
NPI:1083465330
Name:PERSONAL SOLUTIONS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:PERSONAL SOLUTIONS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-806-8143
Mailing Address - Street 1:4802 BENBROOK BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76116-8873
Mailing Address - Country:US
Mailing Address - Phone:817-806-8143
Mailing Address - Fax:
Practice Address - Street 1:4802 BENBROOK BLVD STE 8
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76116-8873
Practice Address - Country:US
Practice Address - Phone:817-806-8143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty