Provider Demographics
NPI:1346224516
Name:CAPROCK HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CAPROCK HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-791-0077
Mailing Address - Street 1:8806 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-3152
Mailing Address - Country:US
Mailing Address - Phone:806-748-7722
Mailing Address - Fax:806-748-7837
Practice Address - Street 1:749 GATEWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1192
Practice Address - Country:US
Practice Address - Phone:325-672-2264
Practice Address - Fax:325-672-5575
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPROCK HOME HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-01
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251J00000X
TX002242251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131060903Medicaid
TX457383Medicare Oscar/Certification
TX131060903Medicaid