MEDICARE: TEXAS HOME HEALTH SKILLED SERVICES,LP

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

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

General Provider Information

NPI Number	:	1215150305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HOME HEALTH SKILLED SERVICES,LP

Provider Business Mailing Address
First Line	:	4619 NORTH ST
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1816
Country	:	US
Telephone Number	:	936-715-9625
Fax Number	:

Provider Business Practice Location Address
First Line	:	4619 NORTH ST
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1816
Country	:	US
Telephone Number	:	936-715-9625
Fax Number	:

Authorized Official
Title or Position	:	VP LEGAL
Name	:	HEATHER SISCEL
Credential	:
Telephone Number	:	224-221-0465

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	12/16/2025

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