1407001928 NPI number — HOME HEALTH CARE PLUS INC

Table of content: (NPI 1407001928)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407001928 NPI number — HOME HEALTH CARE PLUS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME HEALTH CARE PLUS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407001928
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 KELLER SPRINGS RD
Provider Second Line Business Mailing Address:
SUITE 406
Provider Business Mailing Address City Name:
CARROLLTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-979-2033
Provider Business Mailing Address Fax Number:
972-984-7967

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 KELLER SPRINGS RD
Provider Second Line Business Practice Location Address:
SUITE 406
Provider Business Practice Location Address City Name:
CARROLLTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-979-2033
Provider Business Practice Location Address Fax Number:
972-984-7967
Provider Enumeration Date:
11/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SULTAN, RN
Authorized Official First Name:
AMINA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
972-979-2033

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 012616 . This is a "DADS HCSSA LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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