Provider Demographics
NPI:1407170913
Name:ENSEARCH HOME HEALTH
Entity Type:Organization
Organization Name:ENSEARCH HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HEFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-771-2482
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0518
Mailing Address - Country:US
Mailing Address - Phone:972-711-2482
Mailing Address - Fax:
Practice Address - Street 1:905 T L TOWNSEND DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4906
Practice Address - Country:US
Practice Address - Phone:972-771-2482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENSEARCH DETECTIVE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health