Provider Demographics
NPI:1164099909
Name:CONNECTIVE HOME HEALTH LLC
Entity Type:Organization
Organization Name:CONNECTIVE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-440-1394
Mailing Address - Street 1:500 N CENTRAL EXPY STE 440
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6770
Mailing Address - Country:US
Mailing Address - Phone:214-440-1394
Mailing Address - Fax:214-440-1523
Practice Address - Street 1:500 N CENTRAL EXPY STE 440
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6770
Practice Address - Country:US
Practice Address - Phone:214-440-1394
Practice Address - Fax:214-440-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health