Provider Demographics
NPI:1902196785
Name:CAPROCK HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CAPROCK HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXE. V.P.
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-791-0777
Mailing Address - Street 1:3471 KNICKERBOCKER RD
Mailing Address - Street 2:SUITE 506
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-8823
Mailing Address - Country:US
Mailing Address - Phone:325-944-3666
Mailing Address - Fax:325-944-2033
Practice Address - Street 1:215 S IRVING ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6421
Practice Address - Country:US
Practice Address - Phone:325-944-6666
Practice Address - Fax:325-944-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002242251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health