Provider Demographics
NPI:1184701724
Name:SMC HOME HEALTH, INC.
Entity type:Organization
Organization Name:SMC HOME HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-537-8629
Mailing Address - Street 1:887 US HIGHWAY 84 W
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEAGUE
Mailing Address - State:TX
Mailing Address - Zip Code:75860-5141
Mailing Address - Country:US
Mailing Address - Phone:254-235-0699
Mailing Address - Fax:254-235-0685
Practice Address - Street 1:601 W HWY 6
Practice Address - Street 2:SUITE 114
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5591
Practice Address - Country:US
Practice Address - Phone:254-235-0699
Practice Address - Fax:254-235-0685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JORDAN HEALTH CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-01
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
747046Medicare Oscar/Certification