Healthcare Provider Details

I. General information

NPI: 1003813213
Provider Name (Legal Business Name): HOME HEALTH SERVICES OF DALLAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 04/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 W CENTERVILLE RD SUITE 115
GARLAND TX
75041-5456
US

IV. Provider business mailing address

3333 EARHART DR. SUITE 210
CARROLLTON TX
75006-4972
US

V. Phone/Fax

Practice location:
  • Phone: 972-926-4716
  • Fax: 972-926-5875
Mailing address:
  • Phone: 972-448-8500
  • Fax: 972-788-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number001095
License Number StateTX

VIII. Authorized Official

Name: MRS. JANET M BUTTERFIELD
Title or Position: VP OF FINANCE
Credential:
Phone: 972-448-8509