Provider Demographics
NPI:1922115302
Name:TIMELY CARE HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:TIMELY CARE HOME HEALTH SERVICES, LLC
Other - Org Name:TIMELY CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-699-7200
Mailing Address - Street 1:1350 E ARAPAHO RD STE 208
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2453
Mailing Address - Country:US
Mailing Address - Phone:972-699-7200
Mailing Address - Fax:972-699-7206
Practice Address - Street 1:1350 E ARAPAHO RD STE 208
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2453
Practice Address - Country:US
Practice Address - Phone:972-699-7200
Practice Address - Fax:972-699-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX014444251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
67-9789Medicare PIN