Provider Demographics
NPI:1790003713
Name:SYNERGY HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SYNERGY HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-310-6269
Mailing Address - Street 1:2527 PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4523
Mailing Address - Country:US
Mailing Address - Phone:817-310-6269
Mailing Address - Fax:816-310-6267
Practice Address - Street 1:2527 PENINSULA DR
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4523
Practice Address - Country:US
Practice Address - Phone:817-310-6269
Practice Address - Fax:816-310-6267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health