Provider Demographics
NPI:1740995117
Name:TEXAS HEALTH HOME CARE LLC
Entity type:Organization
Organization Name:TEXAS HEALTH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-647-4833
Mailing Address - Street 1:3365 REGENT BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3127
Mailing Address - Country:US
Mailing Address - Phone:469-868-4455
Mailing Address - Fax:469-647-5179
Practice Address - Street 1:3365 REGENT BLVD STE 130
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3127
Practice Address - Country:US
Practice Address - Phone:469-868-4455
Practice Address - Fax:469-647-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX93047OtherACHC ACCREDITATION