Healthcare Provider Details

I. General information

NPI: 1932171741
Provider Name (Legal Business Name): NATIONAL HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 S COULTER ST
AMARILLO TX
79106
US

IV. Provider business mailing address

1800 S COULTER ST
AMARILLO TX
79106-1777
US

V. Phone/Fax

Practice location:
  • Phone: 806-379-7311
  • Fax: 806-371-0447
Mailing address:
  • Phone: 806-379-7311
  • Fax: 806-371-0447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0056287
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0035451
License Number StateTX

VIII. Authorized Official

Name: MRS. JOYCE SANDOVAL
Title or Position: MANAGER
Credential:
Phone: 806-379-7311