MEDICARE: HALLMARK HOMECARE, 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	010942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45D1008786	OTHER	TX	CLIA CERTIFICATE OF WAIVE
2	010942	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1265514640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALLMARK HOMECARE, LP

Provider Business Mailing Address
First Line	:	6688 N CENTRAL EXPY
Second Line	:	SUITE 1300
City	:	DALLAS
State	:	TX
Zip	:	75206-3950
Country	:	US
Telephone Number	:	214-239-6500
Fax Number	:	214-239-6581

Provider Business Practice Location Address
First Line	:	1002 MARBLE HEIGHTS DR STE B1
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-4514
Country	:	US
Telephone Number	:	830-693-2657
Fax Number	:	830-693-4085

Authorized Official
Title or Position	:	EVP OF HOME HEALTH OPERATIONS
Name	:	JULIE DIANE JOLLEY
Credential	:
Telephone Number	:	214-239-6500

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	12/31/2024

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