Provider Demographics
NPI:1891918942
Name:TEXAS HOME HEALTH SKILLED SERVICES,LP
Entity Type:Organization
Organization Name:TEXAS HOME HEALTH SKILLED SERVICES,LP
Other - Org Name:ACCENTCARE HOME HEALTH OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP-ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:17855 N 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 1:5687 EASTEX FWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6923
Practice Address - Country:US
Practice Address - Phone:409-838-0045
Practice Address - Fax:409-839-8124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2024-02-23
Deactivation Date:2024-01-29
Deactivation Code:
Reactivation Date:2024-02-23
Provider Licenses
StateLicense IDTaxonomies
TX008922251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1722951-01Medicaid
TX1722951-01Medicaid