Provider Demographics
NPI:1336226224
Name:DOCTORS HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:DOCTORS HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:DELL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-560-2998
Mailing Address - Street 1:4784 HIGHWAY 377 S
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76116-8805
Mailing Address - Country:US
Mailing Address - Phone:817-560-2998
Mailing Address - Fax:817-560-0477
Practice Address - Street 1:4784 HIGHWAY 377 S
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76116-8805
Practice Address - Country:US
Practice Address - Phone:817-560-2998
Practice Address - Fax:817-560-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004999251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX678001Medicare ID - Type Unspecified