Provider Demographics
NPI:1972911964
Name:JEFF D MILLER INVESTMENTS, LLC
Entity Type:Organization
Organization Name:JEFF D MILLER INVESTMENTS, LLC
Other - Org Name:HAPPY AT HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-658-0619
Mailing Address - Street 1:125 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-3559
Mailing Address - Country:US
Mailing Address - Phone:903-722-9002
Mailing Address - Fax:903-722-9004
Practice Address - Street 1:125 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-3559
Practice Address - Country:US
Practice Address - Phone:903-722-9002
Practice Address - Fax:903-722-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016464251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677275Medicare Oscar/Certification