Provider Demographics
NPI:1740961101
Name:CRITICAL CARE HOME HEALTH INC
Entity type:Organization
Organization Name:CRITICAL CARE HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIBU
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-394-6821
Mailing Address - Street 1:809 MEADOWSIDE CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3721
Mailing Address - Country:US
Mailing Address - Phone:214-394-6821
Mailing Address - Fax:241-593-3235
Practice Address - Street 1:3671 BROADWAY BLVD STE 500-B2
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1684
Practice Address - Country:US
Practice Address - Phone:800-256-8202
Practice Address - Fax:214-593-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care