Provider Demographics
NPI:1629305107
Name:SYAM HOME HEALTHCARE
Entity Type:Organization
Organization Name:SYAM HOME HEALTHCARE
Other - Org Name:MAYZ GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-942-4985
Mailing Address - Street 1:PO BOX 398833
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75339-8833
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1227 MORRELL AVE
Practice Address - Street 2:STE A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-3360
Practice Address - Country:US
Practice Address - Phone:214-942-4985
Practice Address - Fax:214-942-4986
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYAM HOME HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-04
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013452251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health