Provider Demographics
NPI:1477598878
Name:MED GLOBAL HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:MED GLOBAL HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-222-3870
Mailing Address - Street 1:18601 LBJ FWY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5600
Mailing Address - Country:US
Mailing Address - Phone:972-222-3870
Mailing Address - Fax:972-222-3871
Practice Address - Street 1:18601 LBJ FWY
Practice Address - Street 2:SUITE 330
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5600
Practice Address - Country:US
Practice Address - Phone:972-222-3870
Practice Address - Fax:972-222-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008832251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453118Medicare ID - Type Unspecified