Healthcare Provider Details

I. General information

NPI: 1487657854
Provider Name (Legal Business Name): QUALITY HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S SAM RAYBURN FWY
SHERMAN TX
75090-8735
US

IV. Provider business mailing address

1515 S SAM RAYBURN FWY
SHERMAN TX
75090-8735
US

V. Phone/Fax

Practice location:
  • Phone: 903-892-9281
  • Fax: 903-870-0580
Mailing address:
  • Phone: 903-892-9281
  • Fax: 903-870-0580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number016727
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name: DUSTIN EUGENE VANSICKLE
Title or Position: CEO/CFO/OWNER
Credential:
Phone: 903-892-9281