Provider Demographics
NPI:1255595906
Name:TEXAS HOME CARE & ASSOCIATES LLC
Entity type:Organization
Organization Name:TEXAS HOME CARE & ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:TONI
Authorized Official - Last Name:SCALLY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-437-8887
Mailing Address - Street 1:26314 MIDDLECREST HILL CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5475
Mailing Address - Country:US
Mailing Address - Phone:832-437-8887
Mailing Address - Fax:832-437-8808
Practice Address - Street 1:26314 MIDDLECREST HILL CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5475
Practice Address - Country:US
Practice Address - Phone:832-437-8887
Practice Address - Fax:832-437-8808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS HOME CARE & ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011997251F00000X, 251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679620Medicare Oscar/Certification