MEDICARE: EAST SABINE SENIOR 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
1	174200000X	Meals Provider

General Provider Information

NPI Number	:	1952253866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST SABINE SENIOR SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 232
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948-0232
Country	:	US
Telephone Number	:	409-787-2490
Fax Number	:

Provider Business Practice Location Address
First Line	:	561 STARR ST
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948
Country	:	US
Telephone Number	:	409-787-2490
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. TOMMIE JEAN SULLIVAN
Credential	:
Telephone Number	:	936-201-9739

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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