Provider Demographics
NPI:1093809873
Name:HARRIET HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:HARRIET HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSES
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EWELIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-695-0069
Mailing Address - Street 1:1201 N WATSON RD
Mailing Address - Street 2:278
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6190
Mailing Address - Country:US
Mailing Address - Phone:817-695-0069
Mailing Address - Fax:817-695-4941
Practice Address - Street 1:1201 N WATSON RD
Practice Address - Street 2:278
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6190
Practice Address - Country:US
Practice Address - Phone:817-695-0069
Practice Address - Fax:817-695-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45-3123Medicare ID - Type Unspecified