MEDICARE: WISE COUNTY HOME HEALTH

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	017542	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	459238	OTHER	TX	MEDICARE PTAN

General Provider Information

NPI Number	:	1497828669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISE COUNTY HOME HEALTH

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	903-537-8656
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	4102 OLD JACKSBORO HWY STE 100
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76302-2747
Country	:	US
Telephone Number	:	940-683-6370
Fax Number	:	940-683-3315

Authorized Official
Title or Position	:	DIR LICENSE & REGULATORY COMPLIANCE
Name	:	ANGEL STANSBURY
Credential	:
Telephone Number	:	337-344-2141

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	02/04/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1982780615 — TEXOMA FAMILY EYE CARE CLINIC PA
Practice Location Address:

4102 JACKSBORO HWY , SUITE 100
WICHITA FALLS, TX
76302-2747

Practice Phone: 940-696-9072
Practice Fax: 940-761-1115

1235331844 — HEALTHLINE DIAGNOSTICS, INC.
Practice Location Address:

4102 OLD JACKSBORO HWY , SUITE 200
WICHITA FALLS, TX
76302-2747

Practice Phone: 940-723-1100
Practice Fax: 940-723-1133

1174707087 — DR. LEE ANN MOLL O.D.
Practice Location Address:

4102 JACKSBORO HWY STE 100
WICHITA FALLS, TX
76302-2747

Practice Phone: 940-696-9072
Practice Fax: 940-761-1115

1871816025 — CITY CAB & VAN SERVICE, INC.
Practice Location Address:

200 9TH ST
INTERNATIONAL FALLS, MN
56649-2747

Practice Phone: 218-283-8635
Practice Fax: 218-283-3958

1669475885 — NORTH TEXAS REHABILITATION CENTER, INC.
Practice Location Address:

1005 MIDWESTERN PKWY
WICHITA FALLS, TX
76302-2211

Practice Phone: 940-322-0771
Practice Fax: 940-766-4943

Directions to “WISE COUNTY HOME HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.