=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265414346
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOMECARE SOLUTIONS OF EAST TEXAS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2005
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 208 W BLUFF ST # B
-----------------------------------------------------
City | WOODVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75979-5222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-331-9492
-----------------------------------------------------
Fax | 409-331-9490
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 208 W BLUFF ST # B
-----------------------------------------------------
City | WOODVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75979-5222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-331-9492
-----------------------------------------------------
Fax | 409-331-9490
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MR. DARRYL FRESNE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 409-331-9492
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 008163
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------