Provider Demographics
NPI:1922359728
Name:HEALTH AT HOME SERVICES INC
Entity Type:Organization
Organization Name:HEALTH AT HOME SERVICES INC
Other - Org Name:VETERAN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:W
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-963-1300
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-0093
Mailing Address - Country:US
Mailing Address - Phone:903-963-1300
Mailing Address - Fax:888-958-5845
Practice Address - Street 1:1108 S BUFFALO ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-2304
Practice Address - Country:US
Practice Address - Phone:903-963-1300
Practice Address - Fax:888-958-5845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015155251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747828Medicare UPIN