Provider Demographics
NPI:1770625881
Name:HOME HEALTH HOME CARE, LLC
Entity type:Organization
Organization Name:HOME HEALTH HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROFESSIONAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, WHNP-BC
Authorized Official - Phone:817-841-8134
Mailing Address - Street 1:1201 N WATSON RD
Mailing Address - Street 2:SUITE 295
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6190
Mailing Address - Country:US
Mailing Address - Phone:817-841-8134
Mailing Address - Fax:877-200-0159
Practice Address - Street 1:1201 WATSON RD.
Practice Address - Street 2:SUITE 295
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006
Practice Address - Country:US
Practice Address - Phone:817-841-8134
Practice Address - Fax:877-200-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010636251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010636OtherHOME CARE LICENSE