Provider Demographics
NPI:1669239810
Name:SOUTHWESTERN HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SOUTHWESTERN HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-216-3785
Mailing Address - Street 1:PO BOX 6958
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-6958
Mailing Address - Country:US
Mailing Address - Phone:405-216-3785
Mailing Address - Fax:
Practice Address - Street 1:580 E OLD LINDEN RD
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-4817
Practice Address - Country:US
Practice Address - Phone:928-537-7601
Practice Address - Fax:928-537-7606
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWESTERN PRIVATE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health