MEDICARE: HOME HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center		TX

General Provider Information

NPI Number	:	1568871242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	502 W PIONEER PKWY. #1
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010
Country	:	US
Telephone Number	:	817-302-6353
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 W PIONEER PKWY APT 1
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-6176
Country	:	US
Telephone Number	:	817-302-6353
Fax Number	:

Authorized Official
Title or Position	:	CNA/MA
Name	:	MS. CHELSEA NICOLE SANCHEZ
Credential	:	HHA
Telephone Number	:	817-302-6353

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	08/07/2014

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Directions to “HOME HEALTHCARE ” Practice Location

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