Provider Demographics
NPI:1750345179
Name:HOME HEALTH SPECIALISTS HOSPICE & PRIVATE CARE INC
Entity type:Organization
Organization Name:HOME HEALTH SPECIALISTS HOSPICE & PRIVATE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ISABELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-675-5184
Mailing Address - Street 1:1315 S PALESTINE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-3600
Mailing Address - Country:US
Mailing Address - Phone:903-675-9501
Mailing Address - Fax:903-675-4098
Practice Address - Street 1:1315 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3600
Practice Address - Country:US
Practice Address - Phone:903-675-9501
Practice Address - Fax:903-675-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002528251G00000X
TX001263251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001263OtherLICENSED HH
TX002528OtherHOSPICE
TX002528OtherHOSPICE
TX001263OtherLICENSED HH