MEDICARE: HARRIS HEALTHCARE, 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

General Provider Information

NPI Number	:	1205064227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	550 S EDMONDS LN STE 102
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3577
Country	:	US
Telephone Number	:	972-420-0489
Fax Number	:	972-426-6963

Provider Business Practice Location Address
First Line	:	550 S EDMONDS LN STE 102
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3577
Country	:	US
Telephone Number	:	972-420-0489
Fax Number	:	972-353-0811

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAY W HARRIS
Credential	:
Telephone Number	:	972-420-0489

Provider Enumeration Date	:	06/29/2009
Last Update Date	:	02/11/2026

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