Provider Demographics
NPI:1275865727
Name:DANIELLA HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:DANIELLA HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELVIES
Authorized Official - Middle Name:
Authorized Official - Last Name:EBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-503-0335
Mailing Address - Street 1:9550 FOREST LN STE 313
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6065
Mailing Address - Country:US
Mailing Address - Phone:214-503-0335
Mailing Address - Fax:214-503-0433
Practice Address - Street 1:9550 FOREST LN STE 313
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6065
Practice Address - Country:US
Practice Address - Phone:214-503-0335
Practice Address - Fax:214-503-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013623251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001020260Medicaid