Provider Demographics
NPI:1568410256
Name:S & R HOME HEALTH INC
Entity Type:Organization
Organization Name:S & R HOME HEALTH INC
Other - Org Name:S & R HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:DIANN
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:432-570-8880
Mailing Address - Street 1:1030 ANDREWS HWY
Mailing Address - Street 2:STE 109
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-3872
Mailing Address - Country:US
Mailing Address - Phone:432-570-8880
Mailing Address - Fax:432-570-8883
Practice Address - Street 1:1030 ANDREWS HWY
Practice Address - Street 2:STE 109
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-3872
Practice Address - Country:US
Practice Address - Phone:432-570-8880
Practice Address - Fax:432-570-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015843251E00000X
TX010299251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181233101Medicaid
TX0105224003OtherDCN #
TX181233101Medicaid
TX679540Medicare Oscar/Certification
TX679540Medicare Oscar/Certification