Provider Demographics
NPI:1831312859
Name:TEXAS HOME HEALTH SKILLED SERVICES, LP
Entity Type:Organization
Organization Name:TEXAS HOME HEALTH SKILLED SERVICES, LP
Other - Org Name:TEXAS HOME HEALTH SKILLED SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3920
Mailing Address - Street 1:17855 NORTH DALLAS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6852
Mailing Address - Country:US
Mailing Address - Phone:972-267-1100
Mailing Address - Fax:972-267-1115
Practice Address - Street 1:8300 CENTRAL PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6667
Practice Address - Country:US
Practice Address - Phone:254-755-6111
Practice Address - Fax:254-714-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1599136-01Medicaid
TX1599136-01Medicaid