Provider Demographics
NPI:1427206549
Name:SHH-STANDARDS HOME HEALTH INC
Entity Type:Organization
Organization Name:SHH-STANDARDS HOME HEALTH INC
Other - Org Name:STANDARDS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANDARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:254-284-0047
Mailing Address - Street 1:111 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:TX
Mailing Address - Zip Code:76520-3310
Mailing Address - Country:US
Mailing Address - Phone:254-778-7000
Mailing Address - Fax:888-553-7575
Practice Address - Street 1:2027 S 61ST ST STE 114
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6857
Practice Address - Country:US
Practice Address - Phone:254-778-7000
Practice Address - Fax:254-778-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012292251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282184501Medicaid
TX458194Medicare Oscar/Certification