Provider Demographics
NPI:1568798072
Name:EXPEDIENT HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:EXPEDIENT HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:ATTRAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-497-4770
Mailing Address - Street 1:205 E CAMP WISDOM RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-2772
Mailing Address - Country:US
Mailing Address - Phone:972-780-5521
Mailing Address - Fax:972-780-5579
Practice Address - Street 1:205 E CAMP WISDOM RD
Practice Address - Street 2:SUITE D
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-2772
Practice Address - Country:US
Practice Address - Phone:972-780-5521
Practice Address - Fax:972-780-5579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health