MEDICARE: SPRING HILLS HOME HEALTH 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
1	251E00000X	Home Health Agency	32045073916	TX

General Provider Information

NPI Number	:	1609146232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING HILLS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	3217 BENBROOK BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2206
Country	:	US
Telephone Number	:	817-350-3707
Fax Number	:	817-927-1703

Provider Business Practice Location Address
First Line	:	3217 BENBROOK BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2206
Country	:	US
Telephone Number	:	817-350-3707
Fax Number	:	817-927-1703

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ALISON LOVETT
Credential	:
Telephone Number	:	817-350-3707

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	01/12/2012

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