Provider Demographics
NPI:1942485701
Name:METROPLEX HOME HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:METROPLEX HOME HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-572-8300
Mailing Address - Street 1:150 E HIGHWAY 67
Mailing Address - Street 2:SUITE 248
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4476
Mailing Address - Country:US
Mailing Address - Phone:972-572-8300
Mailing Address - Fax:972-572-8305
Practice Address - Street 1:150 E HIGHWAY 67
Practice Address - Street 2:SUITE 248
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-4476
Practice Address - Country:US
Practice Address - Phone:972-572-8300
Practice Address - Fax:972-572-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001018674Medicaid
TX001018674Medicaid