Provider Demographics
NPI:1851601009
Name:RESTORING FUNCTION HHC, LLC
Entity Type:Organization
Organization Name:RESTORING FUNCTION HHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-500-4159
Mailing Address - Street 1:305 W HIDDEN CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-6079
Mailing Address - Country:US
Mailing Address - Phone:817-500-4159
Mailing Address - Fax:866-778-1508
Practice Address - Street 1:305 W HIDDEN CREEK PKWY
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-6079
Practice Address - Country:US
Practice Address - Phone:817-500-4159
Practice Address - Fax:866-778-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014176251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747775Medicare Oscar/Certification