Provider Demographics
NPI:1922051077
Name:HOME HEALTH OF TARRANT COUNTY INC
Entity Type:Organization
Organization Name:HOME HEALTH OF TARRANT COUNTY INC
Other - Org Name:ELARA CARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF REGULATORY
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-234-1866
Mailing Address - Street 1:3010 LYNDON B JOHNSON FWY STE 1100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2712
Mailing Address - Country:US
Mailing Address - Phone:903-537-8656
Mailing Address - Fax:903-537-8420
Practice Address - Street 1:110 N BEATON ST
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-5217
Practice Address - Country:US
Practice Address - Phone:972-937-1359
Practice Address - Fax:972-937-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009361251E00000X
TX011829251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000657700Medicaid
TX000055200Medicaid
TX023511101Medicaid
TX001004095Medicaid
TX10008178OtherAMERIGROUP PROVIDER ID
457087Medicare Oscar/Certification