Provider Demographics
NPI:1386821494
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:806-791-0777
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:806-791-0077
Mailing Address - Fax:806-748-7722
Practice Address - Street 1:801 E PLANO PKWY STE 135
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6859
Practice Address - Country:US
Practice Address - Phone:972-943-5706
Practice Address - Fax:972-943-5727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPROCK HOME HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-31
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002242251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1015448OtherINTEGRATED CARE MANAGEMEN