Healthcare Provider Details

I. General information

NPI: 1689073132
Provider Name (Legal Business Name): BHH OF NORTH TEXAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 SUNSET STRIP SUITE A
GREENVILLE TX
75402-3801
US

IV. Provider business mailing address

PO BOX 260875
PLANO TX
75026-0875
US

V. Phone/Fax

Practice location:
  • Phone: 903-454-6200
  • Fax: 903-454-6203
Mailing address:
  • Phone: 972-248-2441
  • Fax: 972-248-2442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY P. LASSITER
Title or Position: CEO
Credential:
Phone: 972-248-2441