Provider Demographics
NPI:1952592248
Name:HOME HEALTH AGENCY-TEXAS, INC
Entity Type:Organization
Organization Name:HOME HEALTH AGENCY-TEXAS, INC
Other - Org Name:HEALTH CARE PARTNERS @ HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P. OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SAMMI
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:SMITS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,CHCE
Authorized Official - Phone:214-866-0172
Mailing Address - Street 1:6390 LBJ FWY
Mailing Address - Street 2:SUITE # 106
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6409
Mailing Address - Country:US
Mailing Address - Phone:214-866-0181
Mailing Address - Fax:214-866-0189
Practice Address - Street 1:6390 LBJ FWY
Practice Address - Street 2:SUITE # 106
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6409
Practice Address - Country:US
Practice Address - Phone:214-866-0172
Practice Address - Fax:214-866-0153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9178251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673128Medicare Oscar/Certification