Healthcare Provider Details

I. General information

NPI: 1780098343
Provider Name (Legal Business Name): HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9306 GREAT HILLS TRL
AUSTIN TX
78759-7117
US

IV. Provider business mailing address

PO BOX 200
AUGUSTA GA
30903-0200
US

V. Phone/Fax

Practice location:
  • Phone: 512-549-4218
  • Fax: 512-349-0807
Mailing address:
  • Phone: 706-855-5533
  • Fax: 706-854-7382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number000495
License Number StateTX

VIII. Authorized Official

Name: MR. RICK W GRIFFIN
Title or Position: SECRETARY
Credential:
Phone: 706-855-5533