Provider Demographics
NPI:1386830081
Name:2 HARVEST, INC.
Entity Type:Organization
Organization Name:2 HARVEST, INC.
Other - Org Name:ELEOS COMMUNITY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACI
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:940-323-8840
Mailing Address - Street 1:406 S CARROLL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5929
Mailing Address - Country:US
Mailing Address - Phone:940-323-8840
Mailing Address - Fax:940-387-6416
Practice Address - Street 1:406 S CARROLL BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5929
Practice Address - Country:US
Practice Address - Phone:940-323-8840
Practice Address - Fax:940-387-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011561251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011561OtherTEXAS DADS