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NPI Code Detail

MEDICARE: MAIN HOME HEALTH SERVICES INC.

MEDICARE: MAIN HOME HEALTH SERVICES INC.
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
1251E00000XHome Health Agency009999TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902916091
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAIN HOME HEALTH SERVICES INC.
Provider Business Mailing Address
First Line : 3435 HIGHLAND RD
Second Line : SUITE 120
City : DALLAS
State : TX
Zip : 75228-6068
Country : US
Telephone Number : 214-256-4013
Fax Number : 214-256-4092
Provider Business Practice Location Address
First Line : 3435 HIGHLAND RD
Second Line : SUITE 120
City : DALLAS
State : TX
Zip : 75228-6068
Country : US
Telephone Number : 214-256-4013
Fax Number : 214-256-4092
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MUSTAFA IRUONS ARASAH
Credential :
Telephone Number : 214-256-4013
Provider Enumeration Date : 08/30/2006
Last Update Date : 06/18/2014

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Directions to “MAIN HOME HEALTH SERVICES INC. ” Practice Location

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