MEDICARE: HOME HEALTH AGENCY-TEXAS, 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	251E00000X	Home Health Agency	9178	TX

General Provider Information

NPI Number	:	1952592248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH AGENCY-TEXAS, INC

Provider Business Mailing Address
First Line	:	6390 LBJ FWY
Second Line	:	SUITE # 106
City	:	DALLAS
State	:	TX
Zip	:	75240-6409
Country	:	US
Telephone Number	:	214-866-0181
Fax Number	:	214-866-0189

Provider Business Practice Location Address
First Line	:	6390 LBJ FWY
Second Line	:	SUITE # 106
City	:	DALLAS
State	:	TX
Zip	:	75240-6409
Country	:	US
Telephone Number	:	214-866-0172
Fax Number	:	214-866-0153

Authorized Official
Title or Position	:	V.P. OPERATIONS
Name	:	SAMMI LOU SMITS
Credential	:	RN,BSN,CHCE
Telephone Number	:	214-866-0172

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	11/26/2007

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