MEDICARE: HOME HEALTH SERVICES OF DALLAS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	001095	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001095	OTHER	TX	DADS
3	001095	OTHER	TX	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1003813213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH SERVICES OF DALLAS, INC

Provider Business Mailing Address
First Line	:	3333 EARHART DR.
Second Line	:	SUITE 210
City	:	CARROLLTON
State	:	TX
Zip	:	75006-4972
Country	:	US
Telephone Number	:	972-448-8500
Fax Number	:	972-788-2018

Provider Business Practice Location Address
First Line	:	625 W CENTERVILLE RD
Second Line	:	SUITE 115
City	:	GARLAND
State	:	TX
Zip	:	75041-5456
Country	:	US
Telephone Number	:	972-926-4716
Fax Number	:	972-926-5875

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	MRS. JANET M BUTTERFIELD
Credential	:
Telephone Number	:	972-448-8509

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	04/18/2014

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