Provider Demographics
NPI:1184622318
Name:ALL HOME INFUSION INC
Entity type:Organization
Organization Name:ALL HOME INFUSION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-825-7011
Mailing Address - Street 1:5380 OLD BULLARD RD STE 600-328
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3607
Mailing Address - Country:US
Mailing Address - Phone:903-825-7011
Mailing Address - Fax:903-825-7017
Practice Address - Street 1:16541 FM 344 W
Practice Address - Street 2:
Practice Address - City:BULLARD
Practice Address - State:TX
Practice Address - Zip Code:75757-9551
Practice Address - Country:US
Practice Address - Phone:903-825-7011
Practice Address - Fax:903-825-7017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19651332B00000X, 332BP3500X, 333600000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX750739OtherBCBS-TEXAS
TX0915993-01Medicaid
TX0915993-02Medicaid
TX0915993-03Medicaid
TX1184622318Medicaid
TX530629OtherBCBS-DME
TX0915993-04Medicaid
TX145380Medicaid