Provider Demographics
NPI:1720506785
Name:TEXAS HOME HEALTH SKILLED SERVICES,L.P.
Entity Type:Organization
Organization Name:TEXAS HOME HEALTH SKILLED SERVICES,L.P.
Other - Org Name:ACCENTCARE HOME HEALTH OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:2512 S IH 35 STE 320
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5758
Mailing Address - Country:US
Mailing Address - Phone:512-326-1679
Mailing Address - Fax:512-326-1683
Practice Address - Street 1:2512 S IH 35 STE 320
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5758
Practice Address - Country:US
Practice Address - Phone:512-326-1679
Practice Address - Fax:512-326-1683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX018406251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018406OtherTEXAS HEALTH AND HUMAN SERVICES
TX74-7786OtherCMS MEDICARE PROVIDER NUMBER