Provider Demographics
NPI:1083836456
Name:ELECT HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ELECT HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIRA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-595-6196
Mailing Address - Street 1:2227 OLD GLADEWATER HWY
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-2312
Mailing Address - Country:US
Mailing Address - Phone:903-595-6196
Mailing Address - Fax:903-596-0548
Practice Address - Street 1:2227 OLD GLADEWATER HWY
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-2312
Practice Address - Country:US
Practice Address - Phone:903-595-6196
Practice Address - Fax:903-596-0548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012761251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453193OtherPROVIDER NUMBER
TX453193Medicare Oscar/Certification