Provider Demographics
NPI:1205226081
Name:ALTRUIST HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ALTRUIST HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LALANII
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:214-328-8600
Mailing Address - Street 1:6301 GASTON AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-6289
Mailing Address - Country:US
Mailing Address - Phone:214-328-8600
Mailing Address - Fax:214-328-8601
Practice Address - Street 1:5402 WESLEY ST STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6321
Practice Address - Country:US
Practice Address - Phone:214-328-8600
Practice Address - Fax:214-328-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012982251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747470Medicare UPIN