Provider Demographics
NPI:1548790991
Name:TEXAS HOME HEALTH GROUP OF WACO, LLC
Entity Type:Organization
Organization Name:TEXAS HOME HEALTH GROUP OF WACO, LLC
Other - Org Name:ACCENTCARE HOME HEALTH OF WACO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:8300 CENTRAL PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6666
Mailing Address - Country:US
Mailing Address - Phone:254-755-6179
Mailing Address - Fax:254-939-5287
Practice Address - Street 1:8300 CENTRAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6666
Practice Address - Country:US
Practice Address - Phone:254-755-6179
Practice Address - Fax:254-714-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health