=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225275316
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEBRON HEALTH CARE SERVICES. INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2009
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13601 PRESTON RD STE 460E
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75240-4967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-807-2541
-----------------------------------------------------
Fax | 972-807-2542
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2905 DUSTYWOOD DR
-----------------------------------------------------
City | MCKINNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75071-6783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-900-3652
-----------------------------------------------------
Fax | 877-306-2754
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN
-----------------------------------------------------
Name | MRS. IFEOMA N IROKWE
-----------------------------------------------------
Credential | ADMINISTRATOR
-----------------------------------------------------
Telephone | 972-238-8300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 012285
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------