Provider Demographics
NPI:1922097005
Name:BALLINGER HOME HEALTH INC
Entity Type:Organization
Organization Name:BALLINGER HOME HEALTH INC
Other - Org Name:BALLINGER HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:COWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-365-3889
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:BALLINGER
Mailing Address - State:TX
Mailing Address - Zip Code:76821-0214
Mailing Address - Country:US
Mailing Address - Phone:325-365-3889
Mailing Address - Fax:325-365-5685
Practice Address - Street 1:818 HUTCHINS AVE
Practice Address - Street 2:
Practice Address - City:BALLINGER
Practice Address - State:TX
Practice Address - Zip Code:76821-5611
Practice Address - Country:US
Practice Address - Phone:325-365-3889
Practice Address - Fax:325-365-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014917251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX023772901Medicaid
TX014917OtherDADS
TX023772901Medicaid