Provider Demographics
NPI:1386681229
Name:COMMUNITY HH SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY HH SERVICES INC
Other - Org Name:COMMUNITY CARE GRANBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:817-279-7990
Mailing Address - Street 1:820 PALUXY RD
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-2330
Mailing Address - Country:US
Mailing Address - Phone:817-279-7990
Mailing Address - Fax:817-279-7202
Practice Address - Street 1:820 PALUXY RD
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2330
Practice Address - Country:US
Practice Address - Phone:817-279-7990
Practice Address - Fax:817-279-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007227251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679003Medicare ID - Type Unspecified