Provider Demographics
NPI:1659369346
Name:HEART OF TEXAS HOME HEALTHCARE SERVICES,INC.
Entity Type:Organization
Organization Name:HEART OF TEXAS HOME HEALTHCARE SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDSOLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-961-9002
Mailing Address - Street 1:1300 S. STATE HIGHWAY 205
Mailing Address - Street 2:
Mailing Address - City:MCLENDON-CHISHOLM
Mailing Address - State:TX
Mailing Address - Zip Code:75032
Mailing Address - Country:US
Mailing Address - Phone:972-961-9002
Mailing Address - Fax:972-524-3685
Practice Address - Street 1:1300 S. STATE HIGHWAY 205
Practice Address - Street 2:
Practice Address - City:MCLENDON-CHISHOLM
Practice Address - State:TX
Practice Address - Zip Code:75032
Practice Address - Country:US
Practice Address - Phone:972-961-9002
Practice Address - Fax:972-524-3685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009275251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009275OtherSTATE PROVIDER NUMBER
TX009275OtherSTATE PROVIDER NUMBER