=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649493693
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAS HOME HEALTH SKILLED SERVICES,LP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2007
-----------------------------------------------------
Last Update Date | 01/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 W GOODWIN AVE SUITE 370
-----------------------------------------------------
City | VICTORIA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77901-6502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-576-4683
-----------------------------------------------------
Fax | 361-576-1018
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 W GOODWIN AVE STE 370
-----------------------------------------------------
City | VICTORIA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77901-6897
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-576-4683
-----------------------------------------------------
Fax | 361-576-1018
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP OF LEGAL
-----------------------------------------------------
Name | MS. HEATHER SISCEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 361-576-4683
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------