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NPI Code Detail

MEDICARE: EH HOME HEALTH OF EAST TEXAS, LLC

MEDICARE: EH HOME HEALTH OF EAST TEXAS, LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1386175040
Entity Type Code : Organization
Provider Name (Legal Business Name) : EH HOME HEALTH OF EAST TEXAS, LLC
Provider Business Mailing Address
First Line : 6688 N CENTRAL EXPY STE 1300
Second Line :
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 : 110 TRIPLE CREEK DR STE 78A
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-3000
Country : US
Telephone Number : 903-309-3280
Fax Number : 903-292-0043
Authorized Official
Title or Position : EVP OF HOME HEALTH OPERATIONS
Name : JULIE DIANE JOLLEY
Credential :
Telephone Number : 214-239-6500
Provider Enumeration Date : 03/24/2017
Last Update Date : 12/18/2025

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Directions to “EH HOME HEALTH OF EAST TEXAS, LLC ” Practice Location

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