Provider Demographics
NPI:1215189931
Name:TEXAS PREMIER HOME HEALTHCARE,INC.
Entity Type:Organization
Organization Name:TEXAS PREMIER HOME HEALTHCARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:C
Authorized Official - Last Name:PUTHENPURACKEL
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:972-977-2745
Mailing Address - Street 1:350 OAKS TRL
Mailing Address - Street 2:# 120
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-8014
Mailing Address - Country:US
Mailing Address - Phone:972-226-3300
Mailing Address - Fax:972-285-7444
Practice Address - Street 1:350 OAKS TRL
Practice Address - Street 2:# 120
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8014
Practice Address - Country:US
Practice Address - Phone:972-226-3300
Practice Address - Fax:972-285-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health