Provider Demographics
NPI:1942537113
Name:HEALTHWATCH HEALTH CARE, LLC
Entity Type:Organization
Organization Name:HEALTHWATCH HEALTH CARE, LLC
Other - Org Name:HEALTHWATCH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:K
Authorized Official - Last Name:DRENNEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN
Authorized Official - Phone:580-298-3947
Mailing Address - Street 1:3310 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5024
Mailing Address - Country:US
Mailing Address - Phone:903-905-4810
Mailing Address - Fax:903-905-4812
Practice Address - Street 1:123 N BRADLEY ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-5229
Practice Address - Country:US
Practice Address - Phone:580-772-0424
Practice Address - Fax:580-772-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377748Medicare Oscar/Certification