Provider Demographics
NPI:1205267507
Name:HOWELL HOME HEALTH SERVICES
Entity type:Organization
Organization Name:HOWELL HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT. ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEJENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LHERISSON
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:214-893-9071
Mailing Address - Street 1:3500 E PARK BLVD
Mailing Address - Street 2:APT 2004A
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3139
Mailing Address - Country:US
Mailing Address - Phone:469-404-8426
Mailing Address - Fax:972-423-6013
Practice Address - Street 1:3500 E PARK BLVD
Practice Address - Street 2:APT 2004A
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3139
Practice Address - Country:US
Practice Address - Phone:469-404-8426
Practice Address - Fax:972-423-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308721251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health