Provider Demographics
NPI:1144388703
Name:NORTH TEXAS HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NORTH TEXAS HOME HEALTH SERVICES, INC.
Other - Org Name:OUTREACH HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATIVE AND SUPP
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:RYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-692-7834
Mailing Address - Street 1:269 WEST RENNER PARKWAY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080
Mailing Address - Country:US
Mailing Address - Phone:512-692-7834
Mailing Address - Fax:512-973-8005
Practice Address - Street 1:269 WEST RENNER PARKWAY
Practice Address - Street 2:RICHARDSON
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080
Practice Address - Country:US
Practice Address - Phone:973-840-7219
Practice Address - Fax:972-926-8658
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH TEXAS HOME HEALTH SERVICE, INC. DBA OUTREACH HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-05
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXER SERVICES251E00000X
TXPP0130251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
001003597OtherREGION 9 SAN ANGELO CBA
TX001003597OtherCBA