Provider Demographics
NPI:1922175298
Name:HEALTH QUEST HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HEALTH QUEST HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-412-1540
Mailing Address - Street 1:PO BOX 2706
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75030-2706
Mailing Address - Country:US
Mailing Address - Phone:972-412-1540
Mailing Address - Fax:972-475-4443
Practice Address - Street 1:9410 CHIMNEYWOOD DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-2683
Practice Address - Country:US
Practice Address - Phone:972-412-1540
Practice Address - Fax:972-475-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008123251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9218Medicare ID - Type UnspecifiedPROVIDER NUMBER