Provider Demographics
NPI:1689953168
Name:CANTEX HOME HEALTH LEWISVILLE LLC
Entity Type:Organization
Organization Name:CANTEX HOME HEALTH LEWISVILLE LLC
Other - Org Name:THERACARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:UNDERHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-954-4114
Mailing Address - Street 1:2537 GOLDEN BEAR DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2377
Mailing Address - Country:US
Mailing Address - Phone:214-954-4114
Mailing Address - Fax:214-871-3057
Practice Address - Street 1:16750 WESTGROVE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5688
Practice Address - Country:US
Practice Address - Phone:972-434-9400
Practice Address - Fax:800-850-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679407Medicare Oscar/Certification