Provider Demographics
NPI:1003813213
Name:HOME HEALTH SERVICES OF DALLAS, INC
Entity type:Organization
Organization Name:HOME HEALTH SERVICES OF DALLAS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUTTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-448-8509
Mailing Address - Street 1:3333 EARHART DR.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4972
Mailing Address - Country:US
Mailing Address - Phone:972-448-8500
Mailing Address - Fax:972-788-2018
Practice Address - Street 1:625 W CENTERVILLE RD
Practice Address - Street 2:SUITE 115
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5456
Practice Address - Country:US
Practice Address - Phone:972-926-4716
Practice Address - Fax:972-926-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001095251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX023509501Medicaid
TX001095OtherDADS
TX001095OtherSTATE LICENSE NUMBER
457083Medicare Oscar/Certification