Provider Demographics
NPI:1962664748
Name:HOME HEALTH RX
Entity Type:Organization
Organization Name:HOME HEALTH RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-929-9249
Mailing Address - Street 1:13330 NOEL RD
Mailing Address - Street 2:#327
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5055
Mailing Address - Country:US
Mailing Address - Phone:817-929-9249
Mailing Address - Fax:972-661-8257
Practice Address - Street 1:13330 NOEL RD
Practice Address - Street 2:#327
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5055
Practice Address - Country:US
Practice Address - Phone:817-929-9249
Practice Address - Fax:972-661-8257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health