Provider Demographics
NPI:1477734762
Name:HOME HEALTHCARE NURSING, LLC
Entity Type:Organization
Organization Name:HOME HEALTHCARE NURSING, LLC
Other - Org Name:HOME NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LANELL
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-580-9990
Mailing Address - Street 1:601 E 2ND ST STE F
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-5423
Mailing Address - Country:US
Mailing Address - Phone:432-617-8125
Mailing Address - Fax:432-550-7989
Practice Address - Street 1:601 E 2ND ST STE F
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5423
Practice Address - Country:US
Practice Address - Phone:432-617-8125
Practice Address - Fax:432-550-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207335501Medicaid
TX207335501Medicaid