Provider Demographics
NPI:1336212968
Name:NORTH TEXAS HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:NORTH TEXAS HOME HEALTH SERVICES INC.
Other - Org Name:OUTREACH HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CORPORATE COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CPHQ
Authorized Official - Phone:512-692-7810
Mailing Address - Street 1:505 E HUNTLAND DR
Mailing Address - Street 2:SUITE NUMBER 520
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3717
Mailing Address - Country:US
Mailing Address - Phone:512-692-7810
Mailing Address - Fax:512-973-8005
Practice Address - Street 1:1014 FERRIS AVE
Practice Address - Street 2:SUITE NUMBER 106
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2599
Practice Address - Country:US
Practice Address - Phone:972-937-3680
Practice Address - Fax:972-937-3397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNON PROFIT261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX76OtherLOCAL AGENCY #
TX0000311243OtherREQ#
TX1=========4002OtherPAYEE ID#