MEDICARE: HAMMOND HOME HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1316133002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMMOND HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	2011 N COLLINS BLVD STE 607
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2636
Country	:	US
Telephone Number	:	972-618-8001
Fax Number	:	972-692-8080

Provider Business Practice Location Address
First Line	:	2011 N COLLINS BLVD STE 607
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2636
Country	:	US
Telephone Number	:	972-618-8001
Fax Number	:	972-692-8080

Authorized Official
Title or Position	:	OWNER
Name	:	FRED HAMMOND
Credential	:
Telephone Number	:	972-618-8001

Provider Enumeration Date	:	09/17/2007
Last Update Date	:	01/05/2024

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