Provider Demographics
NPI:1750330585
Name:CAPROCK HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CAPROCK HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-791-0777
Mailing Address - Street 1:8806 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-3152
Mailing Address - Country:US
Mailing Address - Phone:806-748-7722
Mailing Address - Fax:806-748-7837
Practice Address - Street 1:1340 E 7TH ST STE 220
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4711
Practice Address - Country:US
Practice Address - Phone:432-332-3177
Practice Address - Fax:432-332-3184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPROCK HOME HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-09
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001401251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000692800OtherCBA