Provider Demographics
NPI:1558669846
Name:LUBBOCK ESSENTIAL HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:LUBBOCK ESSENTIAL HOME HEALTH CARE, INC.
Other - Org Name:ESSENTIAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:806-747-4229
Mailing Address - Street 1:835 TOWER DR STE 21
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4251
Mailing Address - Country:US
Mailing Address - Phone:432-617-8122
Mailing Address - Fax:432-617-8123
Practice Address - Street 1:835 TOWER DR STE 21
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4251
Practice Address - Country:US
Practice Address - Phone:432-617-8122
Practice Address - Fax:432-617-8123
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUBBOCK ESSENTIAL HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004822251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health