Healthcare Provider Details

I. General information

NPI: 1922097005
Provider Name (Legal Business Name): BALLINGER HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 HUTCHINS AVE
BALLINGER TX
76821-5611
US

IV. Provider business mailing address

PO BOX 214
BALLINGER TX
76821-0214
US

V. Phone/Fax

Practice location:
  • Phone: 325-365-3889
  • Fax: 325-365-5685
Mailing address:
  • Phone: 325-365-3889
  • Fax: 325-365-5685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number014917
License Number StateTX

VIII. Authorized Official

Name: DAVID LEON COWART
Title or Position: CFO
Credential:
Phone: 325-365-3889