Provider Demographics
NPI:1669611448
Name:EPIC HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:EPIC HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARBARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-466-1340
Mailing Address - Street 1:1349 EMPIRE CENTRAL DR.
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247
Mailing Address - Country:US
Mailing Address - Phone:214-466-1340
Mailing Address - Fax:214-466-1378
Practice Address - Street 1:9440 VISCOUNT BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7049
Practice Address - Country:US
Practice Address - Phone:915-629-9260
Practice Address - Fax:915-629-9785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012426251E00000X
TX12426-LICENSEDHCSSA251E00000X
TX015039251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201694101Medicaid