Provider Demographics
NPI:1134457229
Name:TEXAS REGIONAL HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:TEXAS REGIONAL HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-903-1755
Mailing Address - Street 1:6043 SUSANNA DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8746
Mailing Address - Country:US
Mailing Address - Phone:817-903-1755
Mailing Address - Fax:800-968-9419
Practice Address - Street 1:6043 SUSANNA DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8746
Practice Address - Country:US
Practice Address - Phone:817-903-1755
Practice Address - Fax:800-968-9419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health