Provider Demographics
NPI:1831458249
Name:EDWARD'S HOME HEALTH, INC.
Entity Type:Organization
Organization Name:EDWARD'S HOME HEALTH, INC.
Other - Org Name:EDWARD'S HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DON
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARROQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:512-763-4690
Mailing Address - Street 1:1106 CLAYTON LN
Mailing Address - Street 2:SUITE 218E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1066
Mailing Address - Country:US
Mailing Address - Phone:512-763-4690
Mailing Address - Fax:866-339-4149
Practice Address - Street 1:8411 N IH 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5713
Practice Address - Country:US
Practice Address - Phone:512-763-4690
Practice Address - Fax:866-339-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
TX747789251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747789Medicare Oscar/Certification