Healthcare Provider Details

I. General information

NPI: 1659864957
Provider Name (Legal Business Name): GIVING HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 S SONCY RD STE 121
AMARILLO TX
79119-6406
US

IV. Provider business mailing address

835 W 6TH ST STE 1450
AUSTIN TX
78703-5421
US

V. Phone/Fax

Practice location:
  • Phone: 63-503-3328
  • Fax: 806-553-3088
Mailing address:
  • Phone: 512-619-2922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number8128HHA-0
License Number StateNV

VIII. Authorized Official

Name: BENJAMIN HANSON
Title or Position: GENERAL COUNSEL
Credential:
Phone: 512-619-2922