Provider Demographics
NPI:1083948764
Name:EHS ENTERPRISE HOME HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:EHS ENTERPRISE HOME HEALTH SOLUTIONS, LLC
Other - Org Name:ENTERPRISE HOME HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-637-1128
Mailing Address - Street 1:1349 EMPIRE CENTRAL DR
Mailing Address - Street 2:SUITE 650
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4066
Mailing Address - Country:US
Mailing Address - Phone:214-637-1128
Mailing Address - Fax:214-637-2919
Practice Address - Street 1:1349 EMPIRE CENTRAL DR
Practice Address - Street 2:SUITE 650
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4066
Practice Address - Country:US
Practice Address - Phone:214-637-1128
Practice Address - Fax:214-637-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care