1720506785 NPI number — TEXAS HOME HEALTH SKILLED SERVICES,L.P.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720506785 NPI number — TEXAS HOME HEALTH SKILLED SERVICES,L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS HOME HEALTH SKILLED SERVICES,L.P.
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:
1720506785
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2512 S IH 35 STE 320
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78704-5758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-326-1679
Provider Business Mailing Address Fax Number:
512-326-1683

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2512 S IH 35 STE 320
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78704-5758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-326-1679
Provider Business Practice Location Address Fax Number:
512-326-1683
Provider Enumeration Date:
08/30/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SISCEL
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF LEGAL
Authorized Official Telephone Number:
224-221-0465

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251E00000X , with the licence number: 018406 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 018406 . This is a "TEXAS HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 74-7786 . This is a "CMS MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com